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previously visited CORRELATION OF CROHN'S DISEASE BETWEEN SMALL BOWEL FOLLOW THROUGH AND ABDOMINAL CT Random Case
Authored By: Bryon Thomson, Resident, Aultman Hospital/NEOUCOM, Ohio, USA.
Patient: 21 year old female
History: 21 year old female: presented with abdominal pain, investigated by both CT of the abdomen and pelvis, as well as small bowel follow through.
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Findings:

SBFT: An abnormally elongated, narrowed and angulated segment of distal ileum is identified in the right lower quadrant, demonstrating somewhat of a string sign.

CT: There are diffuse enhancement and thickening of the distal ileum to the level of the terminal ileum at the cecum.  Delayed images demonstrate oral contrast progressing through the level of the ileum and into the colon. The ileum demonstrates diffuse wall thickening with an area of skip lesion within the mid distal ileum.

DDx: Crohn's terminal ileitis, Behcet disease, infection by yersinia enterocolitis campylobacter jejuni, or even TB.
Diagnosis: Crohns disease
References: Brant, William, and Helms, Clyde, Fundamentals of Diagnostic Radiology, 3rd ed., pp 844-847
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Additional Details:

Case Number: 32480855Last Updated: 11-06-2009
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Anatomy: Gastrointestinal (GI)   Pathology: Non-Infectious Inflammatory Disease
Modality: CT, OtherAccess Level: Readable by all users
Keywords: crohns disease, ileal thickening
Case has been viewed 51 times.

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