Presentation
bloody diarrhea, ?IBD - assess for dilated bowel loops/megacolon
Patient Data
Age: 35 years
Gender: Male
From the case:
Thumbprinting in the colon
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Distal transverse colon shows thumbprinting.
No dilated gas-filled large bowel loops to suggest toxic megacolon.
Case Discussion
This is an example of thumbprinting on abdominal x-ray -- where haustral folds become thickened/edematous, suggestive of an inflammatory process.
The patient went on to have a CT abdomen/pelvis which demonstrated non-specific colitis of the transverse and descending colon. No pneumoperitoneum.
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