Crohn disease

Case contributed by Sakher Alkhaderi


Abdominal pain, diarrhea and fever.

Patient Data

Age: 20 years
Gender: Male

There is a long segment of moderate diffuse mural thickening (1-2 cms) with enhancement involving the terminal ileum with prominent mesenteric edema and vasculature giving the comb sign.

There is evidence of multiple enhanced small collections in the mesentery adjacent to the inflamed bowel loop with air and fluid contents, consistent with abscesses.   

Case Discussion

Known case of Crohn disease with active inflammation of a long segment of the terminal ileum and evidence of mesenteric abscesses and comb sign.

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