Ulcerative colitis

Case contributed by Dr Mahmoud Nady Hassan Mostafa

Presentation

Bloody stool and chronic abdominal pain.

Patient Data

Age: 25 years
Gender: Male
Ultrasound
  • 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
CT
  • 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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Case information

rID: 77701
Published: 23rd May 2020
Last edited: 23rd May 2020
Inclusion in quiz mode: Included
Institution: Al azhar university

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