Crohn disease

Case contributed by Varun Babu
Diagnosis certain


Known patient of Crohn disease with acute exacerbation.

Patient Data

Age: 35 years
Gender: Male

Three skip segments of ileum show circumferential mural thickening and hyperenhancement:

  • 10 cm contiguous involvement of terminal ileum extending to ileocecal junction and medial cecal wall
  • 5 cm of proximal terminal ileum
  • 6 cm of mid-ileum

Enlarged four to five discrete enhancing ileocolic lymph nodes largest measuring 16 mm in short axis. Rest of the small and large bowel loops are normal. No entero-enteric or entero-cutaneous fistulae. 

Case Discussion

Typical case of Crohn disease with skip lesion iinvolvement of multiple segments of ileum and secondary locoregional lymphadenopathy. No bowel-bowel or bowel-skin fistulations. No intra-abdominal inflammatory collections. 

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