PMC5463125_01
Diffuse bowel wall thickening with polypoid appearance (long arrows) and ectatic vasa recta (short arrows) are well demonstrable on coronal HASTE (a) and True-FISP (b) MR images as well as on axial True-FISP MR image (c). Axial diffusion-weighted MR image, performed at b-value of 800 s/mm2, shows restricted diffusion of water within the affected bowel wall (d).
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Mesenteric vascular engorgement was also seen (Figure 1).
Endoscopic image of the caecal region shows deep, large, and oval ulcerations.
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These findings were also confirmed by the endoscopic evaluation of the ileocaecal region that showed oedema, erythema, and round-shaped ulcers (Figure 2).
Surgical specimen reveals multiple punched out ulcerations along a diffusely thickened terminal ileum.
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The surgical specimen revealed multiple punched out ulcerations along a diffusely thickened terminal ileum (Figure 3).