Colonic thumbprinting

Case contributed by Dr Andrew Lawson

Presentation

Previous right hemi-colectomy, acute onset diarhoea and bloody stools.

Patient Data

Age: 60
Gender: Female
Modality: CT

There is diffuse colonic mucosal thickening from the mid transverse colon down to the sigmoid with surrounding peri-mesenteric fat stranding and typical 'thumbprinting'. There is sparing of the proximal transverse colon and rectum. Right hemicolectomy noted.

Conclusion: Colonic mural wall thickening has developed. The segmental distribution is suggestive of ischaemic colitis, with differentials including infectious/pseudomembranous colitis.

PlayAdd to Share

Case Information

rID: 25626
Case created: 1st Nov 2013
Last edited: 3rd Mar 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.