Thumbprinting - ulcerative colitis

Case contributed by Sze Wing Angel Pang
Diagnosis certain

Presentation

Patient with a background of ulcerative colitis, presented with severe abdomen pain, blood in stools and vomiting. ? toxic megacolon.

Patient Data

Age: 30 years
Gender: Female

Thumbprinting of the transverse colon and lead pipe appearance of the descending colon in keeping with the known colitis. No dilated large or small bowel loops to suggest toxic megacolon or bowel obstruction. No features of pneumoperitoneum.

Normal bones with no features of sacroiliitis.

Case Discussion

This is a classic appearance of thumbprinting. The patient received medical treatment, improved and was subsequently discharged.

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