Most probable diagnosis on this barium film is
Correct Answer: Crohn's disease
Description: Features on barium small bowel follow-through in Crohn&;s disease include:mucosal ulcersaphthous ulcers initiallydeep ulcers (>3 mm depth)longitudinal fissurestransverse stripeswhen severe leads to cobblestone appearancemay lead to sinus tracts and fistulaewidely separated loops of bowel due to fibrofatty proliferation (creeping fat) thickened folds due to oedemapseudodiveicula formation: due to contraction at the site of ulcer with ballooning of the opposite sitestring sign: tubular narrowing due to spasm or stricture depending on the chronicitypaial obstructionon control films presence of gallstones, renal oxalate stones, and sacroiliac joint or lumbosacral spine changes should be soughtSource:
Category:
Radiology
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