Thumbprinting

Case contributed by RMH Core Conditions

Presentation

Diffuse abdominal pain. One week diarrhoea.

Patient Data

Age: 23
Gender: Male
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.

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: 5th Nov 2017
Inclusion in quiz mode: Included

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