Male patient hospitalized for suspicion exacerbation ulcerative colitis. During his hospitalization he developed pain and tenderness with palpation of McBurney's point.
Ultrasound showed a markedly circumferential mural thickening of the terminale ileum with diffuse loss of the normal wall architecture. up to the ileocecal valve. Mural thickening is most prominent in the hyperechogenic submucosal layer due to deposition of fatty and fibrous tissue as a result of chronic inflammation. Total trajectory presumably 12 inches.. Induration of the surrounding fat tissue.. The appendix is compressible and measures reactive 8 mm.
The entire colonic trajectory showed also bowel wall thickening.
Extensive colitis disease with contiguous affected trajectory of the terminale ileum. Because of the affected terminale ileum the previously diagnosis was changed to Crohn's disease with colonic involvement.