Thumbprinting: colitis

Case contributed by Dr Henry Knipe

Presentation

Bloody diarrhoea and abdominal pain with nausea and vomting.

Patient Data

Age: 66
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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Case information

rID: 35376
Case created: 3rd Apr 2015
Last edited: 7th Sep 2015
Inclusion in quiz mode: Included

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