Lead pipe sign - ulcerative colitis

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis almost certain


Known case of IBD. Complaints of abdominal pain.

Patient Data

Age: 25 years
Gender: Female

An erect frontal abdominal x-ray showing loss of haustral markings of the descending colon.

Case Discussion

Featureless smooth appearance of the diseased segment of the large bowel is referred to as lead pipe sign and is often seen in patients of ulcerative colitis.

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