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Crohn's disease - ultrasound findings

Case contributed by Dr Ahmed Abdrabou

Presentation

Recurrent abdominal pain associated with irritable bowel alternating constipation and diarrhea

Patient Data

Age: 30 years
Gender: Male
Ultrasound

The terminal ileum is thickened measuring 5.5 mm in single wall thickness and shows target sign on transverse scan. Doppler examination reveals hyperemia. 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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