Crohn disease - with fat creeping sign: gross pathology
Known history of Crohn disease.
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An intra-operative finding during right hemicolectomy with "fat creeping" in the terminal ileum.
The fat creeping sign or fat wrapping refers to the fibrofatty proliferation of the mesenteric tissue adjacent to chronic inflamed bowel loops and has been considered to be a finding characteristic of Crohn disease.
- The “creeping fat sign”—really diagnostic for Crohn’s disease? Werner A. Golder, International Journal of Colorectal Disease, January 2009, 24:1