Active crohn disease

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and diarrhea.

Patient Data

Age: 45 years
Gender: Male
ct

Circumferential increased wall thickness with skip areas is present at small bowel loops which shows mucosal hyper enhancement and accompanied by engorgement of the adjacent mesenteric vessels & mild fat stranding inferring Comb sign. 
No frank fistulous formation is noted in current study. Several enlarged mesenteric lymph nodes are also evident in small bowel mesentery root. Mild to moderate free fluid is observed at abdominopelvic spaces. 

Case Discussion

Features on CT scan are compatible with 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.