EURORAD ESR

Case 1679

Acute colitis

Author(s)
H J Williams, A H S Ahmed, R C Bhatt
 
Patient
female, 42 year(s)
 
 
  • Figure 1
    Supine abdominal radiograph

    Abdominal x-ray showing severe colitic changes due to inflammatory bowel disease. The haustral pattern is absent and the walls of the transverse and descending colon are thickened and oedematous. There is...

     
    Area of Interest: unknown; Imaging Technique: Supine abdominal radiograph;
     
     
Abdominal x-ray showing severe colitic changes due to inflammatory bowel disease. The haustral pattern is absent and the walls of the transverse and descending colon are thickened and oedematous. There is "thumbprinting" with pseudopolyps or "mucosal islands" due to the oedematous mucosa and submucosa. Stool is seen in the ascending colon but not in the transverse colon, and the descending colon is empty and collapsed. The diameter of the distal transverse colon is about 6cm, which is abnormally increased. This patient is at very high risk of developing a toxic megacolon and perforation and needs close clinical observation with repeat x-rays as part of her assessment.
 
 
 
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