Lead pipe colon - ulcerative colitis
Citation, DOI and case data
Chronic abdominal pain and rectal bleeding for one year.
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Single contrast barium enema demonstrates a featureless transverse, descending, and sigmoid colon, lacking normal haustral marking appearance called lead pipe appearance. There are no stenoses or masses.
No evidence of fistula formation.
The ascending colon appears normal with preserved normal haustral folds.
Colonoscopy and biopsy revealed ulcerative colitis as inflammatory bowel disease.
The lead pipe appearance of the colon is the classical barium enema finding in chronic inflammatory bowel disease (ulcerative colitis).