Comb sign (mesentery)

Changed by Rohit Sharma, 1 Aug 2018

Updates to Article Attributes

Body was changed:

The comb sign refers to the hypervascular appearance of the mesentery in active Crohn disease. Fibrofatty proliferation and perivascular inflammatory infiltration outline the distended intestinal arcades. This forms linear densities on the mesenteric side of the affected segments of small bowel, which give the appearance of the teeth of a comb. 

The sign may be seen on both CT and MRI.  ItIt is not pathognomonic of Crohn disease; however, in a known case of Crohn disease would suggest that the disease was extensive advanced and active. However, howeverthe comb sign can be seen in other acute inflammatory conditions of bowel and lupus mesenteric vasculitis. 

The comb sign may be used to differentiate active inflammatory conditions from lymphoma and metastases, which tend to be hypovascular.

{{youtube:http://www.youtube.com/watch?v=NOka2RbawLY}}

See also

  • -<p>The <strong>comb sign</strong> refers to the hypervascular appearance of the mesentery in active <a href="/articles/crohn-disease-1">Crohn disease</a>.  Fibrofatty proliferation and perivascular inflammatory infiltration outline the distended intestinal arcades. This forms linear densities on the mesenteric side of the affected segments of small bowel, which give the appearance of the teeth of a comb. </p><p>The sign may be seen on both CT and MRI.  It is not pathognomonic of Crohn disease; however in a known case of Crohn disease would suggest that the disease was extensive advanced and active, however comb sign can be seen in other acute inflammatory conditions of bowel and <a href="/articles/systemic-lupus-erythematosus">lupus</a> mesenteric vasculitis. </p><p>The comb sign may be used to differentiate active inflammatory conditions from lymphoma and metastases, which tend to be hypovascular.</p><p>{{youtube:http://www.youtube.com/watch?v=NOka2RbawLY}}</p><h4>See also</h4><ul>
  • +<p>The <strong>comb sign</strong> refers to the hypervascular appearance of the mesentery in active <a href="/articles/crohn-disease-1">Crohn disease</a>. Fibrofatty proliferation and perivascular inflammatory infiltration outline the distended intestinal arcades. This forms linear densities on the mesenteric side of the affected segments of small bowel, which give the appearance of the teeth of a comb. </p><p>The sign may be seen on both CT and MRI. It is not pathognomonic of Crohn disease; however, in a known case of Crohn disease would suggest that the disease was extensive advanced and active. However, the comb sign can be seen in other acute inflammatory conditions of bowel and <a href="/articles/systemic-lupus-erythematosus">lupus</a> mesenteric vasculitis. </p><p>The comb sign may be used to differentiate active inflammatory conditions from lymphoma and metastases, which tend to be hypovascular.</p><p>{{youtube:http://www.youtube.com/watch?v=NOka2RbawLY}}</p><h4>See also</h4><ul>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.