Thumbprinting: colitis

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Bloody diarrhea and abdominal pain with nausea and vomiting.

Patient Data

Age: 65 years
Gender: Female
x-ray

Thumbprinting is evident in the sigmoid colon. 

ct

There is marked mural thickening of the distal transverse colon, descending colon, sigmoid colon and rectum with mild pericolonic fat stranding. No pneumatosis, portal venous gas or free intra-abdominal gas. No significant free fluid. The SMA, IMA and SMV opacify normally.

Case Discussion

Thumbprinting is a plain radiographic sign of colitis. 

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