Crohn disease (PET-CT)

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Diffuse abdominal pain.

Patient Data

Age: 40 years
Gender: Female

PET-CT

ct
This study is a stack
Coronal
PET images
This study is a stack
Axial Fused
PET-CT images
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal Fused
PET-CT images
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Info

Multifocal increased FDG uptake by multifocal mild circumferential mural thickening involving small and large bowel loops and the rectum, most evident at the ascending colon and ileoceal junction.

Multiple FDG avid perirectal and internal iliac ymph nodes.

Photograph
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Info

Multifocal increased FDG uptake by multifocal mild circumferential mural thickening involving small and large bowel loops and the rectum, most evident at the ascending colon and ileoceal junction.

Case Discussion

The case shows multifocal increased FDG uptake by multi-focal mild short segments of mural thickening involving the small and large bowel loops.

The patient underwent endoscopy and biopsy which revealed inflammatory bowel disease (Crohn disease).

PET-CT is useful in evaluating patients with inflammatory bowel disease, it helps to identify areas of active inflammation.

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