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Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the colon and small intestine, with Crohn's disease and ulcerative colitis (UC) being the principal types. [3] Crohn's disease affects the small intestine and large intestine, as well as the mouth, esophagus, stomach and the anus, whereas UC primarily affects the colon ...
The normal thickness of the small intestinal wall is 3–5 mm, [6] and 1–5 mm in the large intestine. [7] Focal, irregular and asymmetrical gastrointestinal wall thickening suggests a malignancy. [7] Segmental or diffuse gastrointestinal wall thickening is most often due to ischemic, inflammatory or infectious disease. [7]
Focal, irregular and asymmetrical gastrointestinal wall thickening on CT scan suggests a malignancy. [9] Segmental or diffuse gastrointestinal wall thickening is most often due to ischemic, inflammatory or infectious disease. [9] Though less common, medications such as ACE inhibitors can cause angioedema and small bowel thickening. [10]
Bowel ultrasound (US) is a cost-effective, well-tolerated, non-invasive and readily available tool for the management of patients with inflammatory bowel disease (IBD), including UC, in clinical practice. [79] Some studies demonstrated that bowel ultrasound is an accurate tool for assessing disease activity in people with ulcerative colitis.
Fecal calprotectin may assist in distinguishing SCAD from irritable bowel syndrome. [8] Imaging tests, including CT abdomen, may show inflammation or thickening of the distal colon, with associated diverticulosis. There may be evidence of inflammation extending around the bowel (fat stranding).
Besides, bowel wall oedema with adjacent hyperechoic mesentery can also be seen on ultrasound. However, CT scan is the mainstay of diagnosing diverticulitis and its complications. [12] The diagnosis of acute diverticulitis is made confidently when the involved segment contains diverticula. [42] CT images reveal localized colon wall thickening ...
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