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Difference between revisions of "Inflammatory bowel disease"
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Inflammatory bowel disease (view source)
Revision as of 14:16, 19 November 2012
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**Definition: fat on more than 50% of the intestinal surface.<ref name=pmid15888774/> | **Definition: fat on more than 50% of the intestinal surface.<ref name=pmid15888774/> | ||
**Can be seen radiologically | **Can be seen radiologically - DDx: [[ulcerative colitis]], sclerosing mescenteritis, mesenteric panniculitis, epiploic appendagitis, omental infarction, gastrointestinal complication a renal transplant, idiopathic segmental ureteritis.<ref name=pmid18815796> | ||
*Cobblestone appearance -- may be described as such on endoscopy; due to edema. | *Cobblestone appearance -- may be described as such on endoscopy; due to edema. | ||
*Serpiginous ulcers. | *Serpiginous ulcers. | ||
** Image: [http://en.wikipedia.org/wiki/File:CD_serpiginous_ulcer.jpg Serpiginous ulcer (endoscopy) - wikipedia.org]. | ** Image: [http://en.wikipedia.org/wiki/File:CD_serpiginous_ulcer.jpg Serpiginous ulcer (endoscopy) - wikipedia.org]. | ||
Notes: | |||
*Grossly, the [[margins]] should be clear of disease; the [[surgical clearance]] and microscopic involvement are not considered important.<ref name=pmid6348672>{{Cite journal | last1 = Hamilton | first1 = SR. | title = Pathologic features of Crohn's disease associated with recrudescence after resection. | journal = Pathol Annu | volume = 18 Pt 1 | issue = | pages = 191-203 | month = | year = 1983 | doi = | PMID = 6348672 }}</ref> | *Grossly, the [[margins]] should be clear of disease; the [[surgical clearance]] and microscopic involvement are not considered important.<ref name=pmid6348672>{{Cite journal | last1 = Hamilton | first1 = SR. | title = Pathologic features of Crohn's disease associated with recrudescence after resection. | journal = Pathol Annu | volume = 18 Pt 1 | issue = | pages = 191-203 | month = | year = 1983 | doi = | PMID = 6348672 }}</ref> | ||
*The term ''creeping fat'' may be used in the context of a [[vasculitis]] outside of the abdominal cavity.<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> | |||
===Microscopic=== | ===Microscopic=== | ||