Active Crohn disease

Case contributed by Dr Michael P Hartung

Presentation

Abdominal pain and nausea.

Patient Data

Age: 55
Gender: Female
CT

Multifocal enteritis with areas of dilation of small bowel. The area of most pronounced thickening and 15-20 cm of distal/terminal ileum, which likely represents a combination of fibrostenotic and actively inflamed Crohn's disease, as it results in upstream small bowel dilatation. A few other short segments of thickened and hyperenhancing small bowel loops are noted proximally, consistent with multifocal disease.

Case Discussion

Patient has a known diagnosis of Crohn's disease, with multiple areas of actively inflamed and fibrostenotic disease. 

 

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Case information

rID: 59394
Published: 7th Apr 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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