Small bowel Crohn disease

Case contributed by Huda B. Gharbia , 22 Nov 2022
Diagnosis almost certain
Changed by Calum Worsley, 23 Nov 2022
Disclosures - updated 12 Apr 2022: Nothing to disclose

Updates to Case Attributes

Title was changed:
Small bowel crohnCrohn disease
Body was changed:

Segmental terminal iliumileum wall thickening, stratified mural hyperenhancement, with luminal narrowing, suggestive of a stricture with active inflammation.

and pathologicallyPathologically proved inflammatory bowel disease, crohnCrohn disease.

  • -<p>  Segmental terminal ilium wall thickening, stratified mural hyperenhancement, with luminal narrowing, suggestive stricture with active inflammation.</p><p>and pathologically proved inflammatory bowel disease, crohn disease.</p>
  • +<p>Segmental terminal ileum wall thickening, stratified mural hyperenhancement, with luminal narrowing, suggestive of a stricture with active inflammation.</p><p>Pathologically proved inflammatory bowel disease, Crohn disease.</p>

Updates to Link Attributes

Title was removed:
Small bowel crohn disease
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

-        Segmental severe, thickened wall of distal iliumileum.

-        Segmental mural hyperenhancement: stratified, bilaminar, hyperenhancement of inner layer.

-        Focal marked narrowing of lumen with upstream bowel dilatation, likely focal stricture.

-        Mild engorged/ prominent vascularity adjacent this segment, enhanced post contrast, (comb sign), and surrounding with fibrofatty proliferation creeping fat,.

-        Subcentimetric mesenteric lymphnodeslymph nodes.

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