Presentation
Abdominal discomfort.
Patient Data
Gender: Male
From the case:
Fistulizing Crohn disease
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Mildly dilated fluid-filled mid through distal small bowel loops. Thickening and irregularity of the distal and terminal ileum, with branching channels connecting adjacent ileal loops and the sigmoid colon (with mildly thickened wall) in the right lower quadrant. No fluid collections.
Case Discussion
Crohn disease complicated by enteroenteric and enterocolonic fistulas in the right lower quadrant, with several arborizing tracts associated with thickened and enhancing distal ileal loops. Likely some degree of partial obstruction given the extent of upstream dilation.