Crohn's disease

Case contributed by Dr Prashant Mudgal

Presentation

Elderly patient presented with chronic abdominal pain.

Patient Data

Age: 60 years
Gender: Male
CT

Circumferential wall thickening measuring approximately 7-10 mm noted involving the terminal ileum with significant luminal compromise and stricture narrowing of the terminal ileum near ileocecal junction.

There is infiltration of low attenuation material (HU= -40) in the submucosal layer which is non-enhancing. The overlying muscularis propria and undelying mucosa are enhancing well and depicting fat halo sign.

There is surrounding mesenteric fat stranding and fibrofatty proliferation and perivascular inflammatory infiltration outline the distended intestinal arcades, displaying comb sign.

Few enlarged, non-necrotic lymph nodes are noted in the inflamed part of the mesentery.

Imaging features are most likely represent Crohn's disease

Case Discussion

Endoscopy and biopsy performed which shows ulcerated mucosal irregularities with submucosal hypertrophy and presence of non-caseous inflammatory granulomas, which is consistent with the diagnosis of Crohn's disease.

PlayAdd to Share

Case information

rID: 50861
Case created: 24th Jan 2017
Last edited: 12th Jun 2017
Tag: pm
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.