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

Figure 5

No prior diagnosis of Crohn’s disease. 17-year-old male patient with no prior diagnosis of Crohn’s disease. Colonoscopy is incomplete with a failure to intubate the inflamed ileocecal valve, shown in (A), with pseudopolyps. (B) Transabdominal ultrasound shows an interloop abscess cavity (a). (C) shows a thickened terminal ileum in axial view. The length of involvement (not shown) is 20 cm. (D) shows hyperaemia on colour Doppler. Interpretation: acute inflammation of the terminal ileum with a small interloop abscess. Four days after the ultrasound, the patient was admitted to hospital for intravenous antibiotic therapy.