This case report describes a 17-year-old boy previously hospitalised in Belarus, with significant dilatation of the small intestine in the course of stricturing-type Crohn’s disease. Upon admission, the boy was severely malnourished. Magnetic resonance enterography revealed stenosis at the level of the distal ileum with massive prestenotic dilatation of the loops. During the gastrointestinal passage examination, signs of subobstruction of the gastrointestinal tract and dilatation of several ileal loops were noted. Surgical treatment was recommended, but the parents opposed the decision. Six months later, the boy was hospitalised again due to an exacerbation of the disease. After obtaining parental consent, ileocaecal resection was performed. The patient was discharged in good condition. Biological therapy was initiated. This case report highlights the importance of appropriate treatment of Crohn’s disease. Decisions regarding surgical intervention can be difficult to accept for parents, so, understandably, they require the support of a hospital psychologist.