Crohn disease

Case contributed by Dr Abdallah Al Khateeb

Presentation

Acute on chronic abdominal pain.

Patient Data

Age: 40 years
Gender: Male
CT

KUB (stone protocol)

Wall thickening and edema involving the terminal ileum loops, with few prominent local mesenteric lymph nodes.

On the bone window images, bilateral symmetrical sacroiliac joints ankylosis with sclerotic changes of the lower lumbar facet joints.

Anterior bridging osteophytes at the lumbar spine. 

Case Discussion

Inflammatory bowel disease is an illness with plethora of extra-intestinal manifestations. Among the more common manifestations are sacroiliitis which is typically bilateral and symmetrical, and bridging osteophytes.

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Case information

rID: 43453
Published: 13th Mar 2016
Last edited: 5th Mar 2020
Inclusion in quiz mode: Included

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