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Crohn’s disease and acute lower right side abdominal pain

    Author: Markus Juchems, Ulm, Germany
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 38-year-old man with a 15-year history of Crohn´s disease was admitted to hospital because of severe lower right side abdominal pain with acute onset.
    • On admission, he had slightly elevated levels of C-reactive protein (10.8 mg/L) but no leukocytosis.
    • The clinical picture supported a possible diagnosis of ileus, perforation or pancreatitis.
    • CT of the abdomen was performed to investigate further.
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