Thumbprinting: colitis

Case contributed by Dr Henry Knipe


Bloody diarrhoea and abdominal pain with nausea and vomting.

Patient Data

Age: 66
Gender: Female
Modality: X-ray

Thumbprinting is evident in the sigmoid colon. 

Modality: 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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