Crohns disease

This is one of the images taken during a barium follow-through examination. The small bowel can be examined using a barium follow-through technique or by intubating the proximal jejunum and injecting barium - small bowel enema/enteroclysis. A number of abdominal films are taken (in the prone position to separate the small bowel loops) to examine the small bowel as the barium passes to the colon. Further views are taken of the terminal ileum as this is an area particularly affected by Crohn's disease. The case example demonstrates a thickened, nodular (cobblestone-like appearance) of the terminal ileum mucosa - typical of Crohn's disease.

Asymmetry, skip lesions, deep ulcers (see Fig. 2.25) and fistula formation are the hallmark of Crohn's disease, where as ulcerative colitis is characterised by a symmetrical disease in continuity, granular mucosa (see Figs 2.26 and 2.27), superficial ulcers and rectal involvement. In late stage, there may be inflammatory polypoid changes, narrowing and shortening of the colon. In ulcerative colitis (Fig. 2.28), the ileo-caecal valve is gaping (Table 2.1).

Haustral Markings
Fig. 2.26 Ulcerative colitis. The entire colon is affected, there are reduced haustral markings and the mucosa is abnormal with a fine mucosal granularity.

Was this article helpful?

+1 0
Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook

Post a comment