Crohn's Disease
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Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Crohn's Disease History: 16 year old male with abdominal pain Findings: Coned down views of duodenal bulb demonstrate irregularities of contrast filling. Small bowel follow-through films demonstrate terminal ileum stricture with associated proximal colonic strictures. Ddx: Regional enteritis Crohn's Disease Ulcerative colitis Dxhow: Colonoscopic biospies demonstrated active inflammation along entire colonic mucosa, with the worst evidence of inflammation obtained with the rectal sample. This radiographic series was prompted by the inability to pass colonoscope into the terminal ileum. This young man also has positive serum markers for inflammatory bowel disorders to include ASCA IgA, Anti-OmpC IgA and ANCA antibodies. Exam: Physical exam data not available. No MeSH data available. |
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MPX1632_synpic27482: AP coned down view of ileocecal junction with compression |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Crohn's Disease
History: 16 year old male with abdominal pain
Findings: Coned down views of duodenal bulb demonstrate irregularities of contrast filling. Small bowel follow-through films demonstrate terminal ileum stricture with associated proximal colonic strictures.
Ddx: Regional enteritis Crohn's Disease Ulcerative colitis
Dxhow: Colonoscopic biospies demonstrated active inflammation along entire colonic mucosa, with the worst evidence of inflammation obtained with the rectal sample. This radiographic series was prompted by the inability to pass colonoscope into the terminal ileum. This young man also has positive serum markers for inflammatory bowel disorders to include ASCA IgA, Anti-OmpC IgA and ANCA antibodies.
Exam: Physical exam data not available.
No MeSH data available.