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Radiology

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Atlas of Inflammatory Bowel Diseases
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Abstract

Crohn’s disease: Crohn’s disease tends to be transmural, segmental, and usually discontinuous. Multifocal small bowel diseases may present with areas of different activity, some areas with acute inflammatory, and others with fibrostenosing disease. The characteristic radiological features of Crohn’s disease on barium study include aphthoid or deep ulcerations, cobblestone appearance, sinus tract, and fistula with discontinuous and asymmetric involvement (Figs. 8.1, 8.2, and 8.3).

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References

  1. Park MJ, Lim JS. Computed tomography enterography for evaluation of inflammatory bowel disease. Clin Endosc. 2013;46(4):327–66. doi:10.5946/ce.2013.46.4.327.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Furukawa A, Saotome T, Yamasaki M, Maeda K, Nitta N, Takahashi M, Tsujikawa T, Fujiyama Y, Murata K, Sakamoto T. Cross-sectional imaging in Crohn disease 1. Radiographics. 2004;24(3):689–702. doi:10.1148/rg.243035120.

    Article  PubMed  Google Scholar 

  3. Paulsen SR, Huprich JE, Fletcher JG, Booya F, Young BM, Fidler JL, Johnson CD, Barlow JM, Earnest F. CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases 1. Radiographics. 2006;26(3):641–57. doi:10.1148/rg.263055162.

    Article  PubMed  Google Scholar 

  4. Meyers MA, McGuire PV. Spiral CT demonstration of hypervascularity in Crohn disease: “vascular jejunization of the ileum” or the “comb sign”. Abdom Imaging. 1995;20(4):327–32.

    Article  CAS  PubMed  Google Scholar 

  5. Booya F, Fletcher JG, Huprich JE, Barlow JM, Johnson CD, Fidler JL, Solem CA, Sandborn WJ, Loftus Jr EV, Harmsen WS. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology. 2006;241(3):787–95. doi:10.1148/radiol.2413051444.

    Article  PubMed  Google Scholar 

  6. Maglinte DD, Sandrasegaran K, Lappas JC, Chiorean M. CT enteroclysis. Radiology. 2007;245(3):661–71. doi:10.1148/radiol.2453060798.

    Article  PubMed  Google Scholar 

  7. Madureira AJ. The comb sign. Radiology. 2004;230(3):783–4. doi:10.1148/radiol.2303020645.

    Article  PubMed  Google Scholar 

  8. Tolan DJ, Greenhalgh R, Zealley IA, Halligan S, Taylor SA. MR enterographic manifestations of small bowel Crohn disease. Radiographics. 2010;30(2):367–84. doi:10.1148/rg.302095028.

    Article  PubMed  Google Scholar 

  9. Maglinte DD, Gourtsoyiannis N, Rex D, Howard TJ, Kelvin FM. Classification of small bowel Crohn’s subtypes based on multimodality imaging. Radiol Clin North Am. 2003;41(2):285–303.

    Article  PubMed  Google Scholar 

  10. Vogel J, da Luz MA, Baker M, Hammel J, Einstein D, Stocchi L, Fazio V. CT enterography for Crohn’s disease: accurate preoperative diagnostic imaging. Dis Colon Rectum. 2007;50(11):1761–9. doi:10.1007/s10350-007-9005-6.

    Article  PubMed  Google Scholar 

  11. Schwartz DA, Loftus Jr EV, Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ. The natural history of fistulizing Crohn’s disease in Olmsted county, Minnesota. Gastroenterology. 2002;122(4):875–80.

    Article  PubMed  Google Scholar 

  12. Bruining DH, Siddiki HA, Fletcher JG, Tremaine WJ, Sandborn WJ, Loftus Jr EV. Prevalence of penetrating disease and extraintestinal manifestations of Crohn’s disease detected with CT enterography. Inflamm Bowel Dis. 2008;14(12):1701–6. doi:10.1002/ibd.20529.

    Article  PubMed  Google Scholar 

  13. Greenstein AJ, Mann D, Sachar DB, Aufses Jr AH. Free perforation in Crohn’s disease: I. A survey of 99 cases. Am J Gastroenterol. 1985;80(9):682–9.

    CAS  PubMed  Google Scholar 

  14. Ghonge NP, Aggarwal B, Gothi R. CT enterography: state-of-the-art CT technique for small bowel imaging. Indian J Gastroenterol. 2013. doi:10.1007/s12664-013-0307-4.

    PubMed  Google Scholar 

  15. Lee SS, Kim AY, Yang SK, Chung JW, Kim SY, Park SH, Ha HK. Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology. 2009;251(3):751–61. doi:10.1148/radiol.2513081184.

    Article  PubMed  Google Scholar 

  16. Masselli G, Gualdi G. CT and MR enterography in evaluating small bowel diseases: when to use which modality? Abdom Imaging. 2013;38(2):249–59. doi:10.1007/s00261-012-9961-8.

    Article  PubMed  Google Scholar 

  17. Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol. 2002;12(2):312–23. doi:10.1007/s003300100994.

    Article  PubMed  Google Scholar 

  18. Pereira JM, Madureira AJ, Vieira A, Ramos I. Abdominal tuberculosis: imaging features. Eur J Radiol. 2005;55(2):173–80. doi:10.1016/j.ejrad.2005.04.015.

    Article  PubMed  Google Scholar 

  19. Makanjuola D. Is it Crohn’s disease or intestinal tuberculosis? CT analysis. Eur J Radiol. 1998;28(1):55–61.

    Article  CAS  PubMed  Google Scholar 

  20. Chung SY, Ha HK, Kim JH, Kim KW, Cho N, Cho KS, Lee YS, Chung DJ, Jung HY, Yang SK, Min YI. Radiologic findings of Behcet syndrome involving the gastrointestinal tract. Radiographics. 2001;21(4):911–24; discussion 924–16.

    Article  CAS  PubMed  Google Scholar 

  21. Gore RM, Levine, MS. In: Gore RM, Levine, MS, editors. Textbook of gastrointestinal radiology. Colon. Philadelphia, PA; Saunders Elsevier: 2008.

    Google Scholar 

  22. Gore RM. CT of inflammatory bowel disease. Radiol Clin North Am. 1989;27(4):717–29.

    CAS  PubMed  Google Scholar 

  23. Wiesner RH, LaRusso NF. Clinicopathologic features of the syndrome of primary sclerosing cholangitis. Gastroenterology. 1980;79(2):200–6.

    CAS  PubMed  Google Scholar 

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Correspondence to Joon Seok Lim .

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Lim, J.S. (2015). Radiology. In: Kim, W., Cheon, J. (eds) Atlas of Inflammatory Bowel Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39423-2_8

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  • DOI: https://doi.org/10.1007/978-3-642-39423-2_8

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