Thumbprinting

Case contributed by RMH Core Conditions

Presentation

Diffuse abdominal pain. One week diarrhoea.

Patient Data

Age: 23
Gender: Male
Modality: X-ray

Extensive mucosal thickening involving the majority of the colon, with suspected distal luminal narrowing and widespread thumbprinting. No pneumoperitoneum. No calcified gallstones. Normal appearance of the sacroiliac joints.

Modality: CT

There is thickening of the colonic wall which involves predominantly the caecum, ascending, transverse and descending colon with relative sparing of the sigmoid colon and rectum.

A moderate amount of faeces is present within the rectum. The appendix defines normally. The stomach and small bowel have a satisfactory appearance.

Case Discussion

The patient went onto colonoscopy with biopsy demonstrating ulcerative colitis as the cause of the mucosal oedema. 

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Case Information

rID: 34507
Case created: 24th Feb 2015
Last edited: 15th Nov 2016
Inclusion in quiz mode: Included

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