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F:
There is small bowel
wall thickening (thus small
lumen) near the terminal ileum and a small fistula.
H:
Adult woman, 11-years-old,
is admitted with abdominal pain. Weight loss and slowing of growth. Her sister
is 18-years old and suffers from some rectal fistulae.
INFO/WWW-LINKS:
This chronic inflammatory
disorder may affect any part of the gut - especially the terminal ileum. There
are ulcerations, fistulae and granulomata. Unlike ulcerative
colitis, which is usually located in the colon (except Backwash ileitis),
the whole wall of the bowel is affected. Crohn`s
disease means predisposing risks to large and small bowel cancer. Radiological
appearance of Crohn`s disease are deep and superficial linear ulcerations,
cobblestoning, bowel wall thickening, strictures, skip lesions, Pseudopolyposis
and fistulae. Differential
diagnosis (2)
D:
Crohn`s disease
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