EURORAD ESR

Case 2630

A case of gastrointestinal vasculitis due to systemic lupus erythematosus: MRI examination before and after treatment

Author(s)
Sansoni I, Celestre M, Marin D, Sedati P, Petrucci L
 
Patient
male, 26 year(s)
 
 
  • Figure 1
    Axial HASTE T2W image and T1 FLASH 2D image
     

    Axial T2 and T1 pre contrast images show wall thickening of descending and ascending colon. Acute inflammation of the mucosa and submucosa is appreciated on T2w image as a high signal intensity.

     
    Area of Interest: unknown; Imaging Technique: Axial HASTE T2W image and T1 FLASH 2D image;

    Same as 1a.

     
    Area of Interest: unknown; Imaging Technique: Axial HASTE T2W image and T1 FLASH 2D image;
     
     
  • Figure 2
    Axial and coronal FLASH T1W image acquired post contrast medium injection.
     

    After contrast medium injection the inflammed colonic wall shows intense enhancement with normal the small bowel wall.

     
    Area of Interest: unknown; Imaging Technique: Axial and coronal FLASH T1W image acquired post contrast medium injection.;

    Same as 2a.

     
    Area of Interest: unknown; Imaging Technique: Axial and coronal FLASH T1W image acquired post contrast medium injection.;
     
     
  • Figure 3
    Axial HASTE T2W image

    A MR scan one month after immunosoppressive therapy shows decreased size of the colonic wall within normal limits and resolution of the inflammatory process.

     
    Area of Interest: unknown; Imaging Technique: Axial HASTE T2W image;
     
     
Axial T2 and T1 pre contrast images show wall thickening of descending and ascending colon. Acute inflammation of the mucosa and submucosa is appreciated on T2w image as a high signal intensity.
 
Same as 1a.
 
After contrast medium injection the inflammed colonic wall shows intense enhancement with normal the small bowel wall.
 
Same as 2a.
 
A MR scan one month after immunosoppressive therapy shows decreased size of the colonic wall within normal limits and resolution of the inflammatory process.
 
 
 
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