| Ileum |
 |
Segmental ileal stenosis in
Crohn´s disease |
 |
A typical cobblestone
pattern and a distal
stenosis are depicted
in the left lower quadrant.
|
| Colon |
 |
Affected left hemicolon
proximal to the rectum.
A full blown cobblestone
pattern is shown in the
aboral transverse colon.
Further changes are
segmental affections of
the upper and lower
ileum.
|
| Ileal stenosis |
 |
This patient had a history of Colitis in Crohn´s disease. In a double contrast
enteroclysis a severe stenosis of the terminal ileum is suspected.
Since all surrounding intestine shows a normal
mucosal pattern phasic contractions are also considered. The stenosis remains unchanged during
the course of the examination.
Six months later ileus develops. The stenosis is confirmed intraoperatively
and cleared by stricturoplasty.
|
| Ileum and cecum |
 |
Changes of Crohn´s
disease at the cecum
and the terminal ileum.
Note the contrast defect
representing the (swollen?)
Valve of Bauhini with
proximal mild stenosis.
|
