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

Figure 2

Negative ileocolonoscopy. 26-year-old female with 10-year history of Crohn’s disease. Ileocolonoscopy shown in (A) is normal. (B) Transabdominal ultrasound shows a proximal angulated and thickened loop of ileum (arrowheads). (C) is an endovaginal ultrasound scan showing bowel wall thickening and abundant inflammatory fat with superior resolution. In (D) the addition of colour Doppler shows profuse mural vascularity. Interpretation: severe acute inflammation of a proximal ileal loop. Systemic steroids were initiated after ultrasound.