Info
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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% |
|
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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