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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.