A. Ulcerative Colitis.
B. Intestinal Perforation.
C. Intestinal Obstruction.
D. Paralytic Ileus.
Ans:A. Ulcerative Colitis.
Abdominal X ray in the image shows:
- yellow arrow = lead pipe sign of the distal transverse colon
- red arrow = thumbprinting of the proximal transverse colon.
The thumbprinting represents wall oedema and likely represents more acute (active) disease, with lead pipe appearance more distally representing chronic disease.
Thumb print and lead pipe sign suggests inflammation of the bowel.