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Insights into Imaging
Fig. 9 | Insights into Imaging

Fig. 9

From: Water enema multidetector CT technique and imaging of diverticulitis and chronic inflammatory bowel diseases

Fig. 9

A 63-year-old male with ulcerative colitis and endoscopy limited to 45 cm from the anal verge because of non-distensible colon with diffuse mucosal changes and pseudopolyps. Elective WE-MDCT shows moderate mural thickening throughout the rectosigmoid and descending tract consistent with left-sided colitis (arrowheads) and associated pericolonic fat changes (*). In the proximal descending colon, a focal substenosis with asymmetric mural thickening (arrows) and pseudopolyps (thin arrow) is detected, prompting endoscopic and bioptic re-evaluation, which allowed excluding carcinoma and dysplasia. Fair distension of the transverse and right colon with preserved mural thickness and haustra

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