Presentation
Bloody stool and chronic abdominal pain.
Patient Data
Age: 25 years
Gender: Male
From the case:
Ulcerative colitis
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- Diffuse colonic mural thickening involving the different parts of the colon (cecum, ascending, transverse and descending colon) with maximum thickness 8 mm, smooth serosal surface and loss of normal haustral markings (featureless colon).
- Minimal free fluid collection is seen at the right para colic gutter. No mesenteric fat stranding.
- The small bowel is likely spared
From the case:
Ulcerative colitis
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- Diffuse circumferential mural thickening involving all different parts of the colon (from anus to the cecum) with featureless colon (lead pipe appearance of colon).
- No free fluid or free gas.
- Congested mesentery.
- Subcentimeter mesenteric lymph nodes.
- The terminal ileum and the remainder of the small bowel is spared.
- Abdominal and pelvic organs appear normal.
- No suspicious bone lesion.
- Clear lung bases.
Case Discussion
Findings of diffuse colonic thickening with sparing of small bowel in a young adult most likely due to ulcerative colitis.
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