Lead pipe bowel
Diarrhoea and per rectum bleeding.
Loading Stack -
0 images remaining
Double contrast barium enema demonstrates a featureless descending and sigmoid colon, lacking normal haustral marking. There are no stenoses or masses. No evidence of fistula formation.
The ascending and transverse colon appear normal with preserved normal haustral folds. The terminal ileum is distended and normal in appearance.
4 case question available
This case demonstrates classical lead pipe appearance associated with chronic ulcerative colitis. The normal haustral pattern is to have the most haustra in the right colon with a decreasing amount as one moves distally. It may be normal to have relatively few haustra in the descending colon and sigmoid, and it is important not to overcall the lead-pipe appearance. However, when features are this clear cut, the diagnosis can be made with confidence.
6 article feature images from this case
37 public playlist includes this case
- FRANZCR ABDO barium 1
- Monash radiology rivision tute
- Abdo - Adult Clinical Conditions - GI
- 3_067 Colon: Contrast Examination of the Colon Including Air/CO2
- ABD Intestine
- coffee and cream
- Ulcerative colitis
- Gastrointestinal tract (iOS pack)
- Contrast procedure studies (GIT and others)
- UC vs Crohn's
- Common Surgery Cases for Residents
- VC PART II
- 1.2.3. Viva
- Pulmo et gastro
- UC vs Crohns
- Fluoro GI
- GIT as per path notes
- UQ Med Yr 1 GIT: Bowel
- Casos Residencia Digestivo
- FCPS Gastro