Question 2078
{"accessible":true,"alternatives":[{"id":10318,"text":"Crohn disease"},{"id":10319,"text":"ileocecal tuberculosis"},{"id":10316,"text":"ischemic colitis"},{"id":10315,"text":"pseudomembranous colitis"},{"id":10317,"text":"ulcerative colitis"}],"archived":false,"correctAlternativeId":10317,"explanation":"\u003cp\u003eSpot image from\u0026nbsp;double-contrast barium enema showing featureless descending and sigmoid colon, lacking normal haustral marking giving \u003ca href=\"https://radiopaedia.org/articles/lead-pipe-sign-colon?lang=gb\"\u003elead pipe appearance\u003c/a\u003e.\u0026nbsp;No stenoses,\u0026nbsp;masses or\u0026nbsp;evidence of fistula formation is seen.\u0026nbsp;The ascending and transverse colon appear normal with preserved normal haustral folds. The terminal ileum is distended and normal in appearance.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThe\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003elead pipe appearance of the colon\u0026nbsp;is the classical barium enema finding in chronic\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/ulcerative-colitis?lang=gb\"\u003eulcerative colitis\u003c/a\u003e\u0026nbsp;and can also be seen on\u0026nbsp;CT, MRI or a plain radiograph.\u003c/p\u003e","id":2078,"imageUrl":"https://prod-images-static.radiopaedia.org/images/24800/eef03b2d007a2e191bcb3e514dfcfa_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":6202},"imageAttributionCaseInfo":{"title":"Lead pipe bowel","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":6202,"case_param":"lead-pipe-bowel"},"firstQuestionPath":"/questions/2080","nextQuestionPath":"/articles/ischaemic-colitis/questions/2077","relatedArticles":[{"id":6829,"title":"Ulcerative colitis","link":"/articles/ulcerative-colitis?lang=us"},{"id":6791,"title":"Crohn disease","link":"/articles/crohn-disease-1?lang=us"},{"id":6774,"title":"Clostridioides difficile colitis","link":"/articles/clostridioides-difficile-colitis?lang=us"},{"id":27606,"title":"Ileocecal tuberculosis","link":"/articles/ileocaecal-tuberculosis-1?lang=us"}],"alsoUsedIn":[{"id":889,"kind":"Course","title":"2021 Virtual Conference Private Use - page 889","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/889"},{"id":889,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 889","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/889"}],"stem":"\u003cp\u003eA 35-year-old man presents with complaints\u0026nbsp;of diarrhea and bleeding per rectum. A single spot double-contrast barium enema image is presented. What is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2078"}],"attemptsPercentages":[{"alternativeId":"10315","percentage":2},{"alternativeId":"10317","percentage":69},{"alternativeId":"10319","percentage":10},{"alternativeId":"10316","percentage":4},{"alternativeId":"10318","percentage":15}],"promptToLogin":false,"questionManager":false,"articleId":"ischemic-colitis"}