eMedicine Specialties > Radiology > Gastrointestinal
Ulcerative Colitis: Multimedia
Updated: Jan 30, 2009
Multimedia
 | Media file 1: Double-contrast barium enema study shows changes of early disease. Note the granular mucosa. |
 | Media file 2: Double-contrast barium enema studies show changes of early disease. Note the granular mucosa. |
 | Media file 3: Double-contrast barium enema studies in a 44-year-old man known to have a long history of ulcerative colitis. Images show total colitis and extensive pseudopolyposis. |
 | Media file 4: Plain abdominal radiograph in the same patient as in Image 3, who presented with an acute exacerbation of his symptoms. Image shows thumbprinting in the region of the splenic flexure of the colon. |
 | Media file 5: Plain abdominal radiograph obtained 2 days later in the same patient as in Image 4 shows distention of the transverse colon associated with mucosal edema. The maximum transverse diameter of the transverse colon is 7.5 cm. The patient was treated for toxic megacolon. |
 | Media file 6: A 22-year-old man presented with abdominal pain, passage of blood and mucus per rectum, abdominal distention, fever, and disorientation. Findings from sigmoidoscopy confirmed ulcerative colitis. Abdominal radiographs obtained 2 days apart show mucosal edema and worsening of the distention in the transverse colon. The patient's clinical condition deteriorated over the next 36 hours despite steroid and antibiotic therapy, and the patient had to undergo total colectomy and ileostomy. |
 | Media file 7: Plain abdominal radiograph in a patient with known ulcerative colitis who presented with abdominal pain, peritonism, and leukocytosis. At surgery, a perforated toxic megacolon superimposed on ulcerative colitis was confirmed. |
 | Media file 8: Increased postrectal space is a known feature of ulcerative colitis. |
 | Media file 9: Plain abdominal radiograph on a patient with known ulcerative colitis who presented with an acute exacerbation of his symptoms. Image shows thumbprinting in the region of the splenic flexure of the colon. |
 | Media file 10: Double-contrast barium enema study shows pseudopolyposis of the descending colon. |
 | Media file 11: Single-contrast enema study in a patient with known ulcerative colitis in remission shows a benign stricture of the sigmoid colon. |
 | Media file 12: Plain abdominal radiograph in a 26-year-old with a 10-year history of ulcerative colitis shows a long stricture/spasm of the ascending colon/cecum. Note the pseudopolyposis in the descending colon. |
 | Media file 13: Single-contrast enema study in a patient with total colitis shows mucosal ulcers with a variety of shapes, including collar-button ulcers, in which undermining of the ulcers occurs, and double-tracking ulcers, in which the ulcers are longitudinally orientated. |
 | Media file 14: Double-contrast barium enema study shows total colitis. Note the granular mucosa in the cecum/ascending colon and multiple strictures in the transverse and descending colon in a patient with a more than a 20-year history of ulcerative colitis. |
 | Media file 15: Single-contrast barium enema study shows burnt-out ulcerative colitis. |
 | Media file 16: Scan obtained with technetium-99m hexamethylpropylamine oxime (HMPAO)–labeled WBCs in a patient with active colitis involving the transverse and descending colon. |
 | Media file 17: Intravenous urogram in the same patient as in Image 11 shows features of ankylosing spondylitis. |
 | Media file 18: Lateral radiograph of the lumbar spine in the same patient as in Images 10-11 shows a bamboo spine. |
 | Media file 19: Single-contrast barium enema study in a patient with Shigella colitis. |
 | Media file 20: Postevacuation image obtained after a single-contrast barium enema study shows extensive mucosal ulceration resulting from Shigella colitis. |
 | Media file 21: Double-contrast barium enema studies show granular mucosa associated with Campylobacter colitis. |
More on Ulcerative Colitis |
| Overview: Ulcerative Colitis |
| Imaging: Ulcerative Colitis |
| Follow-up: Ulcerative Colitis |
 Multimedia: Ulcerative Colitis |
| References |
| « Previous Page |
References
Himmel ME, Hardenberg G, Piccirillo CA, Steiner TS, Levings MK. The role of T-regulatory cells and Toll-like receptors in the pathogenesis of human inflammatory bowel disease. Immunology. Oct 2008;125(2):145-53. [Medline].
Carucci LR, Levine MS. Radiographic imaging of inflammatory bowel disease. Gastroenterol Clin North Am. Mar 2002;31(1):93-117, ix. [Medline].
Eisenberg RL. Gastrointestinal Radiology: A Pattern Approach. Philadelphia, Pa: Lippincott-Raven; 1998: 602-8.
Wiesner W, Steinbrich W. [Imaging diagnosis of inflammatory bowel disease]. Ther Umsch. Mar 2003;60(3):137-44. [Medline].
van den Broek FJ, Fockens P, Dekker E. Review article: New developments in colonic imaging. Aliment Pharmacol Ther. Dec 2007;26 Suppl 2:91-9. [Medline].
Gore RM, Balthazar EJ, Ghahremani GG. CT features of ulcerative colitis and Crohn''s disease. AJR Am J Roentgenol. Jul 1996;167(1):3-15. [Medline].
Gore RM, Marn CS, Kirby DF. CT findings in ulcerative, granulomatous, and indeterminate colitis. AJR Am J Roentgenol. Aug 1984;143(2):279-84. [Medline].
Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics. Mar-Apr 2000;20(2):399-418. [Medline].
Jacobs JE, Birnbaum BA. CT of inflammatory disease of the colon. Semin Ultrasound CT MR. Apr 1995;16(2):91-101. [Medline].
Philpotts LE, Heiken JP, Westcott MA. Colitis: use of CT findings in differential diagnosis. Radiology. Feb 1994;190(2):445-9. [Medline].
Thoeni RF, Rogalla P. Current CT/MRI examination of the lower intestinal tract. Baillieres Clin Gastroenterol. Dec 1994;8(4):765-96. [Medline].
Giovagnoni A, Misericordia M, Terilli F. MR imaging of ulcerative colitis. Abdom Imaging. Fall 1993;18(4):371-5. [Medline].
Shoenut JP, Semelka RC, Magro CM. Comparison of magnetic resonance imaging and endoscopy in distinguishing the type and severity of inflammatory bowel disease. J Clin Gastroenterol. Jul 1994;19(1):31-5. [Medline].
Hansmann HJ, Kosa R, Dux M. [The hydro-MRT of chronic inflammatory bowel diseases]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. Aug 1997;167(2):132-8. [Medline].
Lew RJ, Ginsberg GG. The role of endoscopic ultrasound in inflammatory bowel disease. Gastrointest Endosc Clin N Am. Jul 2002;12(3):561-71. [Medline].
Bru C, Sans M, Defelitto MM. Hydrocolonic sonography for evaluating inflammatory bowel disease. AJR Am J Roentgenol. Jul 2001;177(1):99-105. [Medline].
Sigirci A, Baysal T, Kutlu R. Doppler sonography of the inferior and superior mesenteric arteries in ulcerative colitis. J Clin Ultrasound. Mar-Apr 2001;29(3):130-9. [Medline].
Jones B, Abbruzzese AA, Hill TC. Gallium-67-citrate scintigraphy in ulcerative colitis. Gastrointest Radiol. Aug 15 1980;5(3):267-72. [Medline].
Skehan SJ, Issenman R, Mernagh J. 18F-fluorodeoxyglucose positron tomography in diagnosis of paediatric inflammatory bowel disease. Lancet. Sep 4 1999;354(9181):836-7. [Medline].
Weldon MJ, Lowe C, Joseph AE. Review article: quantitative leucocyte scanning in the assessment of inflammatory bowel disease activity and its response to therapy. Aliment Pharmacol Ther. Apr 1996;10(2):123-32. [Medline].
Aydin F, Dinçer D, Güngör F, Boz A, Akça S, Yildiz A, et al. Technetium-99m hexamethyl propylene amine oxime-labeled leukocyte scintigraphy at three different times in active ulcerative colitis: comparison with colonoscopy and clinico-biochemical parameters in the assessment of disease extension and severity. Ann Nucl Med. Jun 2008;22(5):371-377. [Medline].
Tolia V, Kuhns LR, Chang CH. Comparison of indium-111 scintigraphy and colonoscopy with histologic study in children for evaluation of colonic chronic inflammatory bowel disease. J Pediatr Gastroenterol Nutr. Apr 1991;12(3):336-9. [Medline].
Peters AM, Roddie ME, Danpure HJ. 99Tcm-HMPAO labelled leucocytes: comparison with 111In-tropolonate labelled granulocytes. Nucl Med Commun. Jun 1988;9(6):449-63. [Medline].
Poitras P, Carrier L, Chartrand R. Indium-111 leukocyte scanning of the abdomen. Analysis of its value for diagnosis and management of inflammatory bowel disease. J Clin Gastroenterol. Aug 1987;9(4):418-23. [Medline].
Saverymuttu SH, Maltby P, Batman P. False positive localisation of indium-111 granulocytes in colonic carcinoma. Br J Radiol. Aug 1986;59(704):773-7. [Medline].
Tsuchiya M, Miura S, Asakura H. Angiographic evaluation of vascular changes in ulcerative colitis. Angiology. Mar 1980;31(3):147-53. [Medline].
Momoshima S, Kohda E, Hiramatsu K. Intraarterial prednisolone infusion therapy in ulcerative colitis. AJR Am J Roentgenol. Nov 1985;145(5):1057-60. [Medline].
Hiramatsu K, Asakura H, Baba S. Selective intraarterial steroid injection in ulcerative colitis. Acta Radiol Diagn (Stockh). May 1976;17(3):229-304. [Medline].
Brahme F, Hildell J. Angiography in Crohn''s disease revisited. Am J Roentgenol. May 1976;126(5):941-51. [Medline].
Esteve M, Gisbert JP. Severe ulcerative colitis: At what point should we define resistance to steroids?. World J Gastroenterol. Sep 28 2008;14(36):5504-7. [Medline].
Shen B. Crohn's disease of the ileal pouch: Reality, diagnosis, and management. Inflamm Bowel Dis. Sep 24 2008;[Medline].
Van Assche G, Vermeire S, Rutgeerts P. Treatment of severe steroid refractory ulcerative colitis. World J Gastroenterol. Sep 28 2008;14(36):5508-11. [Medline].
Baum S, Athanasoulis CA, Waltman AC. Angiography in the diagnosis and therapy of hemorrhage from the large bowel. Radiologe. Nov 1975;15(11):427-33. [Medline].
Becker W, Schomann E, Fischbach W. Comparison of 99Tcm-HMPAO and 111In-oxine labelled granulocytes in man: first clinical results. Nucl Med Commun. Jun 1988;9(6):435-47. [Medline].
Cucino C, Sonnenberg A. Cause of death in patients with inflammatory bowel disease. Inflamm Bowel Dis. Aug 2001;7(3):250-5.
Froelich JW. Nuclear medicine imaging of inflammatory bowel disease. Radiol Clin North Am. Jan 1987;25(1):133-41. [Medline].
Froelich JW, Swanson D. Imaging of inflammatory processes with labeled cells. Semin Nucl Med. Apr 1984;14(2):128-40. [Medline].
Ludvigsson JF, Ludvigsson J. Inflammatory bowel disease in mother or father and neonatal outcome. Acta Paediatr. 2002;91(2):145-51.
Wagner M, Peterson CG, Ridefelt P, Sangfelt P, Carlson M. Fecal markers of inflammation used as surrogate markers for treatment outcome in relapsing inflammatory bowel disease. World J Gastroenterol. Sep 28 2008;14(36):5584-9. [Medline].
Weber C, Krupski G, Lorenzen J. [MRCP in primary sclerosing cholangitis]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. Feb 2003;175(2):203-10. [Medline].
Further Reading
Keywords
ulcerative colitis, UC, inflammatory bowel disease, IBD, ulcerative proctocolitis, crypt abscesses, fulminant colitis, toxic megacolon, Crohn disease, Crohn's disease, CD
