Presents with bowel obstruction status post lysis of adhesions. Intraoperative findings concerning for Crohn's disease. Negative colonoscopy. 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: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is maintained.The stomach is significantly distended as is the small bowel to the level of the distal ileum which is distended with air with a collapsed long-segment of terminal ileum. There is a marked caliber discrepancy between the proximal and distal small bowel. These findings are compatible with a small bowel obstruction appearing similar to the prior CT. The terminal ileum slightly distends on post-contrast imaging, speaking against a long-segment stricture. The ileocecal junction is well seen (series 5 image 18). There is no significant thickening, abnormal T2-weighted signal intensity, restricted diffusion or postcontrast enhancement of the small bowel wall. No adjacent inflammatory changes.There is no evidence of a flow-limiting stricture.No evidence of sinus tract or fistula formation. No free fluid or loculated fluid collection.The colon is essentially decompressed without evidence of active inflammation or flow limiting stricture.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings of a small bowel obstruction with a transition point in the distal ileum without specific evidence of active inflammation or fibrostenotic disease, favoring underlying adhesive disease. No specific evidence of bowel compromise/ischemia. The appearance is similar to the prior CT. 