Crohn disease

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Long-standing lower abdominal pain.

Patient Data

Age: 15 years
Gender: Female

Ultrasound abdomen

ultrasound

Circumferential thickening of a bowel loop adjacent to the fundus of the uterus associated with minor free fluid. Minimal increase in blood flow on color Doppler.

MRI abdomen

mri

Thick-walled ileal loops in the pelvis including the terminal ileum. No obstruction. Diffuse enhancement in the thick-walled ileal loops.

Case Discussion

This case illustrates MRI appearances of Crohn disease. 

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