Hose or lead pipe colon: Crohn disease
Past history of Crohn disease. Now abdominal pain and diarrhoea.
Loading Stack -
0 images remaining
Caecum is on a mesentery and sits in the right upper quadrant. Ileocaecal junction is normal. Left colon from the hepatic flexure is featureless, shortened and thick-walled - typical features of a so-called "hose or lead pipe".
The hose pipe pattern is due to gross transmural inflammation of the colonic wall. Note there is also distension of the transverse colon raising the possibility of toxic "megacolon", a potentially life threatening complication of colitis.