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Difference between revisions of "Inflammatory bowel disease"
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Inflammatory bowel disease (view source)
Revision as of 13:55, 15 August 2011
, 13:55, 15 August 2011→Crohn's disease: more on creeping fat
(→Microscopic: more images) |
(→Crohn's disease: more on creeping fat) |
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===Gross=== | ===Gross=== | ||
*Transmural inflammation, i.e. full thickness of bowel wall. | *Transmural inflammation, i.e. full thickness of bowel wall. | ||
*Creeping fat. | *Creeping fat (also "fat wrapping" and "fat hypertrophy"<ref name=pmid15888774>{{Cite journal | last1 = Schäffler | first1 = A. | last2 = Herfarth | first2 = H. | title = Creeping fat in Crohn's disease: travelling in a creeper lane of research? | journal = Gut | volume = 54 | issue = 6 | pages = 742-4 | month = Jun | year = 2005 | doi = 10.1136/gut.2004.061531 | PMID = 15888774 }}</ref>) - abundant fat, fat on anti-mesenteric side of the bowel.<ref>{{Cite journal | last1 = Schäffler | first1 = A. | last2 = Herfarth | first2 = H. | title = Creeping fat in Crohn's disease: travelling in a creeper lane of research? | journal = Gut | volume = 54 | issue = 6 | pages = 742-4 | month = Jun | year = 2005 | doi = 10.1136/gut.2004.061531 | PMID = 15888774 }} | ||
</ref> | |||
**Can be seen radiologically; may be seen in [[vasculitis]].<ref name=pmid18815796>{{Cite journal | last1 = Golder | first1 = WA. | title = The "creeping fat sign"-really diagnostic for Crohn's disease? | journal = Int J Colorectal Dis | volume = 24 | issue = 1 | pages = 1-4 | month = Jan | year = 2009 | doi = 10.1007/s00384-008-0585-y | PMID = 18815796 }}</ref> | |||
*Cobblestone appearance -- may be described as such on endoscopy. | *Cobblestone appearance -- may be described as such on endoscopy. | ||
*Serpiginous ulcers. | *Serpiginous ulcers. | ||