inflammatory intestinal diseases
DESCRIPTION
Inflammatory Intestinal Diseases. Ulcerative Colitis. Unknown etiology Mucosal inflammation and ulceration in the large intestine Always involves the rectum Early; Widespread fuzzy, serrated ulcerations Late; Rigid tube appearance, ‘lead pipe’ Complications; Toxic megacolon , carcinoma. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/1.jpg)
Inflammatory Intestinal Diseases
![Page 2: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/2.jpg)
Ulcerative Colitis• Unknown etiology• Mucosal inflammation and ulceration in
the large intestine• Always involves the rectum• Early; Widespread fuzzy, serrated
ulcerations• Late; Rigid tube appearance, ‘lead pipe’• Complications; Toxic megacolon,
carcinoma
![Page 3: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/3.jpg)
Ulcerative Colitis
• Fine serrated margins • Represents mucosal
ulcerations
![Page 4: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/4.jpg)
Ulcerative Colitis
• Close up serrations
![Page 5: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/5.jpg)
Ulcerative Colitis
• Diffuse involvement with ulcerations
![Page 6: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/6.jpg)
Ulcerative Colitis
• Extensive descending colon involvment with deep ulcerations of mucosa.
![Page 7: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/7.jpg)
Ulcerative Colitis
• Fine serrations in the sigmoid colon.
![Page 8: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/8.jpg)
Ulcerative Colitis• AP film from air
contrast barium enema
• Acute disease• Smooth surface
distal colon and rectum or fine serrations
• Loss of haustra• Some narrowing
![Page 9: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/9.jpg)
Ulcerative Colitis Chronic
• Areas of marked narrowing
• Shortening of the colon
• Abnormal smoothness
• No haustrations
![Page 10: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/10.jpg)
Crohn’s Disease
• Unknown etiology• Transmural process• Any part of alimentary tract• Mostly terminal ileum, proximal colon, may
affect the duodenum
![Page 11: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/11.jpg)
Crohn’s Disease
• Cobblestone appearance (edema with criss-crossed ulcers)
• Skip areas of normal bowel• Complications- obstruction, fistulas and
abscess
![Page 12: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/12.jpg)
Regional Enteritis
• Separation of loops• Skip areas of more
normal appearing small intestine
• Areas of edematous small intestine
• Areas of narrowing
![Page 13: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/13.jpg)
Regional Enteritis
• Marked narrowing of the terminal ileum
![Page 14: Inflammatory Intestinal Diseases](https://reader036.vdocuments.us/reader036/viewer/2022062315/5681650e550346895dd78707/html5/thumbnails/14.jpg)
Crohn’s Disease• Spot films of
terminal ileum• Areas of
narrowing separated by areas of more normal bowel
• Separation of loops
• Fistulas (arrow)