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Image Based Question-67060

Question

The sign as represented by an arrow in the CT abdomen picture shown below, is seen in ?

A. Crohns disease.

B. Ulcerative colitis.

C. Tuberculosis.

D. Intestinal lymphoma.

 

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Correct Answer » A

Explanation

The sign shown in the CT abdomen picture above represents Comb sign i.e dilated veins on mesenteric side of ileum.

CT finding in Crohns disease:

  • Mural thickening with stratification is seen with active inflammation
  • Vascular engorgement of the mesentery (comb sign)
  • Hypodense lymph nodes.

CT findings in intestinal tuberculosis:

  • Mural thickening with contiguous ileo-cecal involvement
  • Hypodense lymph nodes with peripheral enhancement
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