Reason: small bowel involvement ? History: abdominal and rectal pain after colectomy with ileo-anal anastomosis in a crohn's disease patient. 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: Punctate bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of a colectomy with ileorectal anastomosis. Diffuse small bowel dilatation measuring up to 3.7 cm, greater involving the ileum and rectum. Mild bowel wall thickening involving the rectum, which may represent mild proctitis. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No abnormal fluid collections.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of a colectomy with ileorectal anastomosis. Diffuse small bowel dilatation measuring up to 3.7 cm, greater involving the ileum and rectum. Mild bowel wall thickening involving the rectum, which may represent mild proctitis. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No abnormal fluid collections.
Postsurgical changes of total colectomy with ileorectal anastomosis. Mild bowel wall thickening and dilatation of the rectum with upstream small bowel dilatation may represent proctitis. 