Crohn's disease with small bowel obstruction

Case contributed by Dr Dalia Ibrahim

Presentation

Chronic abdominal pain and vomitting

Patient Data

Age: 35
Gender: Male
Modality: CT

Markedly dilated small bowel loops with multiple inflammatory strictures showing mural thickening and enhancement.

Multiple enlarged mesenteric lymph nodes.

Engorged vasa recta.

Modality: Annotated image

Markedly dilated small bowel loops (Yellow arrows) with multiple inflammatory strictures (Red arrows) showing mural thickening and enhancement.

Case Discussion

In Crohn's disease, it's important to discriminate between active inflammation and fibrostenotic disease;

 Active inflammation, characterized clinically by acute clinical symptoms & raised inflammatory markers and  treatment is usually medically (unless there is a complication).

Whilst fibrostenotic disease,characterized by obstructive symptoms and often treated surgically. 

 

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Case Information

rID: 29568
Case created: 5th Jun 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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