Impact of Intestinal Ultrasound on Classification and Management of Crohn’s Disease Patients with Inconclusive Colonoscopy

Figure 3

Stricture. 27-year-old female with no prior diagnosis of Crohn’s disease with a failure to intubate the terminal ileum on colonoscopy due to a deformity at the ileocecal (IC) valve shown in (A). (B) An ultrasound image of the terminal ileum shows that it is thick-walled and hyperemic. (C) Additional ultrasound image shows a fixed acute angulation of the bowel. (D) shows the bowel proximal to the angulation with increased calibre and increased fluid content. There is ascites (a). Interpretation: hyper- and dysfunctional peristalsis on real-time imaging indicated acute inflammatory stricture with incomplete mechanical bowel obstruction. Biological therapy was initiated after ultrasound.