Presentation
Known patient of Crohn disease with acute exacerbation.
Patient Data
Age: 35 years
Gender: Male
From the case:
Crohn disease
![](https://prod-images-static.radiopaedia.org/images/37042244/ce53dd8cf6225980a592c6bdca2950_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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Info
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Three skip segments of ileum show circumferential mural thickening and hyperenhancement:
- 10 cm contiguous involvement of terminal ileum extending to ileocecal junction and medial cecal wall
- 5 cm of proximal terminal ileum
- 6 cm of mid-ileum
Enlarged four to five discrete enhancing ileocolic lymph nodes largest measuring 16 mm in short axis. Rest of the small and large bowel loops are normal. No entero-enteric or entero-cutaneous fistulae.
Case Discussion
Typical case of Crohn disease with skip lesion iinvolvement of multiple segments of ileum and secondary locoregional lymphadenopathy. No bowel-bowel or bowel-skin fistulations. No intra-abdominal inflammatory collections.