[Radiologic aspects of granulomatous colitis]

The granulomatous colitis represents the peculiar clinical and radiological manifestations of the Crohn disease, localized in the colon. Although it can be localized in any organ of the digestive apparatus, the affection of the colon follows in importance to the ileocecal, with identical pathologic characteristics. The radiology is a fundamental pillar of the diagnostic when there are established direct and indirect signs of the macroscopic alterations, of its development and complications. We present our experience in 53 cases of granulomatous colitis of which, there was in 25 of them, besides ileal afectation. Three patients in precocious phase, presented irregular contours and inflammatory polypus, standing out the importance of the mucous patron study. In no estenotic phase with evident signs of the granulomatous afectation, there were observed 42 cases with typical patron on cobblestone and 8 cases in no estenotic phase with looseness of mucous relief and haustras. The presence of fistulizations was little frequent, only in two cases.