Crohn's disease

Case contributed by Dr Avni K P Skandhan

Presentation

Abdominal pain, diarrohea and a history of weight loss

Patient Data

Age: 60 years
Gender: Male
CT

Post contrast coronal images of the abdomen show a long segment ileal loop thickening, with prominence of the mesenteric vasculature - comb sign. There is also minimal ascites. 

These features are in favor of Crohn's disease.

Case Discussion

Crohn's disease is an inflammatory bowel disease, with a classical intestinal and many associated extra intestinal manifestations. The intestinal manifestations are classically seen on barium studies. The imaging features are bowel wall thickening with enhancement, comb sign i.e prominent intestinal arcades towards the mesenteric side of the involved bowel loop, separation of bowel loops, formation of strictures and fistulae.

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Case information

rID: 25362
Case created: 22nd Oct 2013
Last edited: 5th Nov 2017
Inclusion in quiz mode: Included

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