Presentation
Recurrent attacks of abdominal pain, chronic diarrhea and weight loss. CRP is elevated.
Patient Data
There is mild dilatation of the small bowel seen at the mid-abdomen with associated air-fluid levels denoting underlying element of bowel obstruction.
Both sacroiliac joints show marginal sclerosis of their opposed articular surfaces.
Evidence of small bowel wall thickening at the right iliac fossa involoving the terminal ileum with associated luminal attenuation and subsequent proximal segment of bowel dilatation reaching about 4.7 cm in diameter. There is accentuated echogenicity of the related fat planes and mild amount of intraperitoneal free fluid.
Pathology report confirming the presence of inflammatory bowel disease.
Case Discussion
The combination of radiographic findings, sonographic findings and patient presentation are keeping with inflammatory bowel disease such as Crohn disease.
The diagnosis was confirmed by endoscopy and biopsy.
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