Home WIOTM Case of the Month August 2021- Clinical picture vs imaging findings: an ultrasound surprise

Case of the Month August 2021- Clinical picture vs imaging findings: an ultrasound surprise

by Admin

Codruta Constantinescu1, Dana Nedelcu2, Nona Bejinariu3, Georgia Baltog2, Alina Constantin2, Cătălin Copăescu2, Adrian Săftoiu1,2

1. Research Center of Gastroenterology and Hepatology Craiova
2. Ponderas Academic Hospital Bucharest
3. Santomar Cluj

*  Correspondence: adriansaftoiu@gmail.com / constantinescu.codruta@yahoo.com

Clinical History:
A 32-year-old female with a history of Crohn’s disease for 8 years, receiving intermittent treatment with steroids, immunosuppressants and biologic treatment, had a pericolic abscess drained recently percutaneously. She presented to the Gastroenterology Clinic of Ponderas Academic Hospital, Bucharest, Romania for a second opinion. She had no complaints, no diarrhea and even reported weight gain.

Image 1a & 1b: B-mode ultrasound reveals a thickened colonic wall with ab-sent stratification.
Image 1a & 1b: B-mode ultrasound reveals a thickened colonic wall with ab-sent stratification.
Image 2: 3D reconstruction of virtual CT colonography showing retroperito-neal passage of the CO2 (arrows) through a patent colonic fistula.
Image 3: Virtual colonography “fly-through” shows progressive reduction of the colonic lumen up to an ample stenosis of the descending colon as well as the fistula entry site (red arrow).
Image 4: Colonoscopy reveals impassable stenosis of the descending colon.

Video: Power Doppler ultrasound shows a hypervascularized bowel wall.

View the May Case below, answer the question and then click check >

0 comment
10

You may also like

Leave a Comment

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read More

Translate »