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Case 9.22 

Case 9.22
Chapter:
Case 9.22
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0244
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date: 17 October 2019

23-year-old man with a history of Crohn disease and previous ileocecal resection, now with abdominal pelvic pain, bloody diarrhea, and a suspected perianal fistula

Axial postgadolinium 3D SPGR images (Figure 9.22.1) demonstrate moderate thickening of the sigmoid colon consistent with Crohn colitis and severe diffuse thickening and heterogeneous enhancement of the rectum. Note the prominent perirectal and right inguinal adenopathy, as well as perirectal fibrofatty proliferation that is likely secondary to chronic inflammation....

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