Crohn's disease: ultrasound findings

Case contributed by Dr Ahmed Abd Rabou

Presentation

Recurrent abdominal pain associated with irritable bowel alternating constipation and diarrhea

Patient Data

Age: 32 years old
Gender: Male
Modality: Ultrasound

The terminal ileum is thickened measuring 5.5 mm in single wall thickness and shows target sign on transverse scan. Doppler examination reveals hyperaemia. There is background of mesenteric fatty infiltration, enlarged lymph nodes, mild intraperitonal fluid and other scattered bowel loops affected to a lesser degree but not continuous (skipped)

Case Discussion

The clinical and ultrasonographic findings are highly suggestive of inflammatory bowel disease particularly crohn's disease in activity. The patient was referred to upper GI contrast study, CT and laboratory investigation.

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Case Information

rID: 41053
Case created: 13th Nov 2015
Last edited: 15th Nov 2015
Inclusion in quiz mode: Included

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