IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Crohn's disease - ultrasound findings

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Recurrent abdominal pain associated with irritable bowel alternating constipation and diarrhea

Patient Data

Age: 30 years
Gender: Male
ultrasound

The terminal ileum is thickened measuring 5.5 mm in single wall thickness and shows target sign on transverse scan. Doppler examination reveals hyperemia. There is background of mesenteric fatty infiltration, enlarged lymph nodes, mild intraperitonal fluid and other scattered bowel loops affected to a lesser degree but not continuous (skipped)

Case Discussion

The clinical and ultrasonographic findings are highly suggestive of inflammatory bowel disease particularly crohn's disease in activity. The patient was referred to upper GI contrast study, CT and laboratory investigation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.