Lead pipe sign of ulcerative colitis

Case contributed by Dr Dana Alnuaimi


Presented to the Emergency Department with abdominal pain and diarrhea .

Patient Data

Age: 40 years
Gender: Female

An erect frontal abdominal x-ray showing loss of haustral markings of the transverse and descending segments of the large colon. No evidence of pneumoperitoneum.

Case Discussion

This featureless smooth appearance of the diseased segment of the large bowel is referred to as lead-pipe sign and is often seen in patients with chronic ulcerative colitis. The patient had a past medical history of long-standing ulcerative colitis.

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Case information

rID: 56685
Published: 19th Nov 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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