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Crohn's Disease

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Crohn's Disease

History: 22yo caucasian male C/O moderate intermittent colicky abdominal pain, last episode was approx. one month ago at the time this outpatient study was ordered. The patient has undergone I&D of perirectal abscesses on two occasions. The patient was diagnosed as having Crohn's disease two years ago when he underwent appendectomy.

Findings: Radiograph #1 is a supine view of an air contrast BE showing an extrinsic filling defect of the caecum at terminal ileum (TI), with a nodular mucosal pattern. The TI has a severely narrowed lumen which can accommodate only a thin stream of barium; this is commonly referred to as radiographic "string sign". Radiographs #2&3 are cone down views of TI to highlight the above findings.

Ddx: Crohn's Disease Ulcerative Colitis Neoplasm

No MeSH data available.


See case description
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Related In: Results  -  Collection

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MPX2432_synpic38229: See case description


Crohn's Disease

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2432&req=5

MPX2432_synpic38229: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Crohn's Disease

History: 22yo caucasian male C/O moderate intermittent colicky abdominal pain, last episode was approx. one month ago at the time this outpatient study was ordered. The patient has undergone I&D of perirectal abscesses on two occasions. The patient was diagnosed as having Crohn's disease two years ago when he underwent appendectomy.

Findings: Radiograph #1 is a supine view of an air contrast BE showing an extrinsic filling defect of the caecum at terminal ileum (TI), with a nodular mucosal pattern. The TI has a severely narrowed lumen which can accommodate only a thin stream of barium; this is commonly referred to as radiographic "string sign". Radiographs #2&3 are cone down views of TI to highlight the above findings.

Ddx: Crohn's Disease Ulcerative Colitis Neoplasm

No MeSH data available.