Crohn disease

Case contributed by Fadi Ali
Diagnosis certain


Right iliac fossa pain, suspected acute appendicitis.

Patient Data

Age: 55 years
Gender: Male

Long mural thickening and enhancement segment involve the ileal loops, mainly the terminal ileum and the proximal ascending colon, associated with prominent perienteric vessels ("comb sign"), enlarged lymph nodes, fatty stranding, and prominent fibrofatty infiltration.

The appendix appears normal.

Incidental finding of retro-aortic left renal vein (anatomical variant). Few bilateral simple renal cortical cysts.

Case Discussion

This is a case of Crohn disease with terminal ileitis. The patient has diagnosed with Crohn disease 1 year ago. 

Differential diagnosis:

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.

Updating… Please wait.

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

 Thank you for updating your details.