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Table 2.1 Features of inflammatory bowel disease

Features

Crohn's disease

Ulcerative colitis

Distribution

Anywhere in gastrointestinal tract, mainly terminal ileum

Predominantly colon and rectum

Morphology

Skip lesions, aphthous ulcers, deep (rose thorn)

Disease involve continuous segments, superficial ulceration, aphthous ulcers (Fig. 2.27)

Fistula and sinuses

Common

Uncommon

Strictures

Yes

Relatively more common

Toxic dilatation

Uncommon

Common (Fig. 2.28)

Rectal involvement

Less than 50%

Greater than 95%

Anal fistula, sinus and fissures

Common

Uncommon

Terminal ileum

Narrowed, fissured

Dilated with a gaping ileo-caecal valve

Cancer risk

Uncommon

High

Pseudodiverticulation

Common

Not seen

Inflammatory polyps

Rare

Seen in about 20%

Gallstones

Common especially after surgery

No significant increase

Age 66.

This patient presented with persistent vomiting and abdominal pain.

Fig. 2.29 Quiz case.

Age 66.

This patient presented with persistent vomiting and abdominal pain.

■ What further you suggest?

radiological findings management would

Fig. 2.29 Quiz case.

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