Type:
Educational Exhibit
Keywords:
Pathology, Inflammation, Acute, Technical aspects, Diagnostic procedure, Ultrasound, MR, CT, Small bowel, Abdomen
Authors:
F. Romero Gallego; Seville/ES
DOI:
10.1594/ecr2013/C-1168
Learning objectives
Crohn disease is a frequent and multifactorial process wich usually affects people in early adult age and stays during the whole life with a unpredictable course.
Because of this,
it has a great importance to be able to assess when,
where and how disease affects small bowel (most frequently affected),
colon or both.
Depending of this,
the different therapies can be carried out with more chances of success.
Different radiological and non radiological procedures has been used with the purpose to make a map of the affectation of the disease:
-In one hand invasive procedures(endoscopic procedures) are able to see the intraluminal damage and to take biopsies.
They give information about extension but the small bowel is the most frequently affected and many times can ´t be achieved and at the same time those technics can´t evaluate transmural and extramural extension.
-In the other hand non-invasive procedures where we include:
A) Barium procedures (Fig 1)
B) Ultrasound.
(Fig 2)
C) CT.
(Fig.3)
D) MRI.
(Fig 4)
In this presentation we describe the radiological features in the different radiological procedures as well as its importance in the different phases of the disease wich are:
1.
Acute Inflamation.
2.
Complicated status (acute process plus fistula and/or abscesification).
3.
Cronic changes.