Abdominal pain, fistulizing ileocolonic Crohn's disease ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall thickening and enhancement involving approximately 20 cm of the distal ileum with focal areas of stricturing compatible with acute inflammatory bowel disease. There are chronic changes involving a long segment of the ileum with straightening of the mesenteric border and fibrofatty proliferation. The distal ileum abuts a segment of markedly angulated sigmoid colon in the right lower quadrant without discrete evidence of fistula. Status post ileocecectomy.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Intrauterine contraceptive device.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall thickening and enhancement of the rectosigmoid.BONES, SOFT TISSUES: No significant abnormality noted.
1.Acute on chronic inflammatory bowel disease involving the distal ileum with focal areas of stricturing as described above.2.Wall thickening and enhancement the rectosigmoid compatible with acute inflammatory bowel disease.