Presentation
Abdominal pain, diarrhea and weight loss.
Patient Data
Age: 50 years
Gender: Male
From the case:
Comb sign in active Crohn disease
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There is a long segment of distal small bowel thickening along with engorgement of the adjacent mesenteric vessels and mild fat stranding inferring comb sign.
There are also multiple mesenteric lymphadenopathies with maximum SAD of 15mm in the vicinity of diseased segments. Proximal small bowel loops are relatively dilated.
A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 15mm.
Case Discussion
Features are compatible with comb sign that refers to the hypervascular appearance of the mesentery in active Crohn disease.
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