Crohn disease in the pediatric patient: CT evaluation

Amal A. Jabra, Elliot K. Fishman, George A. Taylor

Research output: Contribution to journalReview articlepeer-review

Abstract

Computed tomographic (CT) scans and medical records of 25 children (age range, 10-18 years) with pathologically proved Crohn disease were reviewed to better define the role of CT in the management of pediatric patients with Crohn disease. CT findings included small bowel thickening (range, 5-10 mm) (n = 20), colonic wall thickening (range, 6-15 mm) (n = 15), and small bowel dilation (n = 5). Mesenteric abnormalities such as adenopathy and focal fatty proliferation were seen in 11 and 18 patients, respectively. Extraluminal complications were easily identified with CT. Abscesses were noted in seven patients, inflammatory masses in four, and perirectal or perineal inflammation in 10. Fistulas were detected in four patients. The authors conclude that CT should be the initial imaging study performed in children with known Crohn disease and a changing pattern of clinical symptoms.

Original languageEnglish (US)
Pages (from-to)495-498
Number of pages4
JournalRadiology
Volume179
Issue number2
DOIs
StatePublished - May 1991

Keywords

  • Children, gastrointestinal tract, 70.262
  • Intestines, CT, 70.1211
  • Intestines, diseases, 70.262

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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