R. Mund ( Leipzig )  

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16 Years  

Female  

16 year-old female patient with complaints in the lower right abdominal quadrant.  

Crohn's disease is an unspecific, granulomatous inflammation of all intestinal wall layers, which can strike all segments of the digestive system. In 40% of the cases, this occurs solely in the terminal ileum.  

<- view Ultrasound 1

Ultrasound 1: Terminal Ileum, longitudinal: Obvious thickening intestinal wall with so-called "cobblestone mucosa" with almost closed intestinal lumen as the sonographic correlate of the edematous-fibrous-lymphangiectically changed intestinal wall. Ulcerations lie between.

Surgery / Histo  

Colitis ulcerosa, acute or chronic enteritis, Purpura Schönlein-Hennoch, GvH-reaction of the intestines  

The begin of the illness is mostly around the 12th year. There is a tendency of intestinal stenosis and fistula formation of the ulcerations in the area; abscess and conglomerate tumor formation.

Today, the conservative/medicinal treatment is used until presence of non-controlling complications.
The possible necessary intestinal resections should be done as conservatively as possible.  

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GI-Small intestine  

unknown