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Crohn's Disease - with ileo-rectal fistualization

Long JRL - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Crohn's Disease - with ileo-rectal fistualization

History: 67 year-old woman with long standing history of Crohn's disease and multiple prior abdominal surgeries who is status post colectomy with rectal stump and diverting ileostomy and complaints of rectal discharge over the past 2-3 months.

Findings: CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon. Additionally the superior aspect of the patient's remnant rectum is visualized. Single contrast water-soluable (gastrograffin) enema was performed to assess for any fistulous connections between the rectal stump and the aformentioned phlegmon. Fluoroscopic images demonstrate a thin column of contrast coursing superiorly and anteriorly into the left hemiabdomen into the region of the phlegmon. There was no cutaneous extension of the contrast material. No contrast material was present within the dependant regions of the abdomen to suggest free spillage into the abdomen.

Ddx: Ileo-rectal fistua

Dxhow: Fluoroscopic evaluation

Exam: n/a

No MeSH data available.


CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon.  Additionally the superior aspect of the patient's remnant rectum is visualized.
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MPX2350_synpic30203: CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon. Additionally the superior aspect of the patient's remnant rectum is visualized.


Crohn's Disease - with ileo-rectal fistualization

Long JRL - MedPix (2007)

CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon.  Additionally the superior aspect of the patient's remnant rectum is visualized.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2350&req=5

MPX2350_synpic30203: CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon. Additionally the superior aspect of the patient's remnant rectum is visualized.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Crohn's Disease - with ileo-rectal fistualization

History: 67 year-old woman with long standing history of Crohn's disease and multiple prior abdominal surgeries who is status post colectomy with rectal stump and diverting ileostomy and complaints of rectal discharge over the past 2-3 months.

Findings: CT examination from four months prior to the fluoroscopic study demonstrating an ill-definied soft tissue density within the left hemiabdomen adjacent to multiple loops of small bowel consistent with a phlegmon. Additionally the superior aspect of the patient's remnant rectum is visualized. Single contrast water-soluable (gastrograffin) enema was performed to assess for any fistulous connections between the rectal stump and the aformentioned phlegmon. Fluoroscopic images demonstrate a thin column of contrast coursing superiorly and anteriorly into the left hemiabdomen into the region of the phlegmon. There was no cutaneous extension of the contrast material. No contrast material was present within the dependant regions of the abdomen to suggest free spillage into the abdomen.

Ddx: Ileo-rectal fistua

Dxhow: Fluoroscopic evaluation

Exam: n/a

No MeSH data available.