Presentation
Abdominal pain.
Patient Data
Age: 20 years
Gender: Female
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Thumbprinting of ascending and transverse colon and featureless bowel wall at the left transverse colon extending into splenic flexure, consistent with wall thickening.
From the case:
Ulcerative colitis - thumbprinting and lead pipe signs
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- yellow arrow = lead pipe sign of the distal transverse colon
- red arrow = thumbprinting of the proximal transverse colon
Case Discussion
This patient had a known history of ulcerative colitis. The thumbprinting represents wall edema and likely represents more acute (active) disease, with lead pipe appearance more distally representing chronic disease.
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