Comb sign in Crohn's disease

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain in a known patient with Crohn's disease.

Patient Data

Age: 65 years
Gender: Male

There is a long segment of distal small bowel thickening along with engorgement of the adjacent mesenteric vessels and mild fat stranding inferring comb sign.
A few small cysts are seen at the liver less than 5 mm. 
A little amount of free fluid is present in the pelvis.
Degenerative changes as osteophytosis are seen at the lumbar spine. 

Case Discussion

Features are compatible with comb sign that refers to the hypervascular appearance of the mesentery in active Crohn disease.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.