Crohns disease - terminal ileitis, fistulizing
Diagnosis almost certain
Updates to Study Attributes
Findings
was changed:
Severe short segment terminal ileitis leads into the ICileocecal valve with wall thickening/irregularity and mucosal hyperenhancement with surrounding mesenteric edema. Minor upstream dilation without obstruction. Some branching inflammatory tracts extend along the posterior aspect suggesting entero-enteric or blind-ending fistulae involving the terminal ileum. No abscess. Inflammation with at least some degree of narrowing of the right ureter at this level resulting in mild upstream hydroureteronephrosis.
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