Hello doctor,I am a 39-year-old female suffering from abdominal pain and intermittent diarrhea. Had a CT with contrast that revealed bowel wall thickening in ascending and transverse colon- possible transmural thickening, that may just be artifactual, but it did show up and warrant GI consult. Abdominal X-ray was negative for obstruction, but there were distended loops of the bowel where the pain is. The main issue at this time is continued pressure and fullness on RUQ and LLQ. Feels like I need to have more bowel movement and have incompletely evacuated. No nausea or vomiting. All labs are normal including ESR. Colonoscopy and upper GI scheduled in few days. How likely is Crohn's diagnosis with these symptoms and workup?
Hi. You have a suspected thickening of the right colonic wall and features of subacute obstruction (attachment removed to protect patient identity). Crohn's can be a possibility but chances are less. The next step would definitely be a complete colonoscopy.  For more information consult a medical gastroenterologist online -->