File:Acute-on-chronic Crohn disease with enteroenteric fistula (Radiopaedia 66686-75987 B 74).jpg

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Summary:

Description
  • Radiopaedia case ID: 66686
  • Image ID: 47141078
  • Image stack position: 74/82
  • Plane projection: Axial
  • Aux modality: C+ portal venous phase
  • Modality: CT
  • System: Gastrointestinal
  • Findings: Contrast enhanced images of abdomen show moderate circumferential wall thickening of terminal ileum for a length of 5.0 cm and maximum wall thickness of 8 mm showing increased surrounding mesenteric vascularity (comb sign). There is severe narrowing at the level of thickening (representing stricture) with resultant moderate focal (<4 cm) distal ileal loop dilatation (3.7 cm in diameter). The dilated loop shows mottled intraluminal contents. There is hypertrophy of peri-ileal fat in right iliac fossa. Mucosal ulcers are seen in inflamed terminal ileum. Focal areas of enteroenteric fistula are noted between the narrowed and dilated loops of terminal ileum. No enterocutaneous fistulae noted. These features are consistent with active (mucosal ulcers, enhancing wall thickening and comb sign) on chronic (stricture of terminal ileum and enteroenteric fistulae) Crohn disease. Few small reactive mesenteric lymph nodes are noted in right iliac fossa. Multiple simple hepatic cysts and trace bilateral pleural effusions are also noted.
Date Published: 2nd Mar 2019
Source https://radiopaedia.org/cases/acute-on-chronic-crohn-disease-with-enteroenteric-fistula
Author Vinay V Belaval
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current18:24, 15 April 2021Thumbnail for version as of 18:24, 15 April 20212,440 × 2,440 (309 KB)Fæ (talk | contribs)Radiopaedia project rID:66686 (batch #952-119 B74)

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