Crohn disease - creeping fat sign (gross pathology)
Known history of Crohn disease.
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An intra-operative finding during right hemicolectomy with "creeping fat" in the terminal ileum.
The creeping fat sign or wrapping fat refers to the fibrofatty proliferation of the mesenteric tissue adjacent to chronic inflamed bowel loops and has been considered to be a finding characteristic of Crohn disease.
- The “creeping fat sign”—really diagnostic for Crohn’s disease? Werner A. Golder, International Journal of Colorectal Disease, January 2009, 24:1