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Computed tomography in Crohn disease.

D H Frager, M Goldman, T C Beneventano

    Journal of Computer Assisted Tomography
    |October 1, 1983
    PubMed
    Summary

    Computed tomography (CT) is vital for diagnosing Crohn disease, revealing characteristic small intestinal changes like symmetrical bowel wall thickening and mesenteric fat masses. CT aids in managing both intestinal and extraintestinal complications of this inflammatory bowel disease.

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    Area of Science:

    • Radiology
    • Gastroenterology
    • Medical Imaging

    Background:

    • Crohn disease is a chronic inflammatory bowel disease affecting the gastrointestinal tract.
    • Accurate diagnosis and management of Crohn disease complications are crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the utility of computed tomography (CT) in identifying characteristic findings of small intestinal involvement in Crohn disease.
    • To assess the role of CT in managing intestinal and extraintestinal complications.

    Main Methods:

    • Retrospective analysis of computed tomography scans from twelve patients diagnosed with Crohn disease.
    • Detailed examination of imaging features in the small intestine and associated mesentery.

    Main Results:

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    • CT demonstrated symmetrical bowel wall thickening as a key indicator of small intestinal Crohn disease.
    • A distinctive "double halo" appearance and mesenteric fat mass were consistently observed.
    • CT provided essential diagnostic information for managing disease-related complications.

    Conclusions:

    • Computed tomography is a valuable tool for diagnosing small intestinal Crohn disease.
    • Characteristic CT findings aid in the identification and management of Crohn disease and its complications.