PMC9166977_01
CT abdomen image showing asymmetric wall thickening with subtle adjacent pericolonic fat stranding and mesenteric vessel engorgement involving the transverse and proximal sigmoid colon.
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fig1
C-reactive protein, 81.2 mg/L; ESR, >100 mm/hr; and negative tuberculosis skin test. CT abdomen showed asymmetric wall thickening with subtle adjacent pericolic fat stranding and mesenteric vessel engorgement involving the transverse and proximal sigmoid colon (Figures 1 and 2).
CT abdomen image showing multiple shotty mesenteric lymph nodes, which are nonspecific, possibly reactive related to the colonic process.
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fig2
C-reactive protein, 81.2 mg/L; ESR, >100 mm/hr; and negative tuberculosis skin test. CT abdomen showed asymmetric wall thickening with subtle adjacent pericolic fat stranding and mesenteric vessel engorgement involving the transverse and proximal sigmoid colon (Figures 1 and 2).
Elective colonoscopy repeated as outpatient was significant for multiple scattered pseudopolyps and discrete ulcerations seen from the transverse colon to sigmoid colon consistent with known Crohn's disease.
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fig3
He had a repeat colonoscopy eight months later that showed persistent active colitis that was improving, and he was continued on anti-TNF-alpha therapy (Figure 3).