Crohn disease
Diagnosis almost certain
Updates to Case Attributes
Presentation
was changed:
Abdominal pain, diarrheadiarrhoea and fever.
Diagnostic Certainty
was set to
.
Age
changed from 22 to 20 years.
Body
was changed:
Known case of Crohn's diseasewith active inflammation of a long segment of the terminal ileum and evidence of mesenteric abscesses and comb sign.
-<p>Known case of <strong>Crohn's disease </strong>with active inflammation of a long segment of the terminal ileum and evidence of mesenteric abscesses and comb sign.</p>- +<p>Known case of <a title="Crohn disease" href="/articles/crohn-disease-1">Crohn disease</a><strong> </strong>with active inflammation of a long segment of the <a title="Terminal ileum" href="/articles/terminal-ileum">terminal ileum</a> and evidence of mesenteric abscesses and <a title="Comb sign (mesentery)" href="/articles/comb-sign-mesentery">comb sign</a>.</p>
References changed:
- Furukawa A, Saotome T, Yamasaki M, Maeda K, Nitta N, Takahashi M, Tsujikawa T, Fujiyama Y, Murata K, Sakamoto T. Cross-sectional imaging in Crohn disease. (2004) Radiographics : a review publication of the Radiological Society of North America, Inc. 24 (3): 689-702. <a href="https://doi.org/10.1148/rg.243035120">doi:10.1148/rg.243035120</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/15143222">Pubmed</a> <span class="ref_v4"></span>
- Furukawa A, Saotome T, Yamasaki M et-al. Cross-sectional imaging in Crohn disease. Radiographics. 2004;24 (3): 689-702. Radiographics (full text) - doi:10.1148/rg.243035120 - Pubmed citation
Updates to Study Attributes
Findings
was changed:
There is a long segment of moderate diffuse mural thickening (1-2 cms) with enhancement involvesinvolving the terminal ileum with prominent mesenteric edemaoedema and vasculature giving the ( comb sign ).
There is evidence of multiple enhanced small collections in the mesentery adjacent to the inflamed bowel loop with air and fluid contents, consistent with abscesses.