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Congress: ECR25
Poster Number: C-22764
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-22764
Authorblock: A-G. Ionică, M. M. Radulescu, L-D. Ghindeanu, A. Marinescu; Bucharest/RO
Disclosures:
Andreea-Georgiana Ionică: Nothing to disclose
Micaela Micaela Radulescu: Nothing to disclose
Laura-Diana Ghindeanu: Nothing to disclose
Alexandra Marinescu: Nothing to disclose
Keywords: Emergency, Gastrointestinal tract, CT, MR, Plain radiographic studies, Computer Applications-Detection, diagnosis, Computer Applications-General, Education, Acute, Inflammation, Outcomes
Learning objectives The main objective of this presentation is to explore the crucial role of emergency radiology in the rapid evaluation and management of Crohn’s Disease and its complications. We aim to emphasize the importance of imaging in improving patient outcomes by facilitating early diagnosis and appropriate intervention.This presentation will: explain the role of emergency radiology in the diagnosis and management of Crohn’s Disease. review key radiological findings and manifestations associated with Crohn’s Disease. explore various imaging modalities and their applications in detecting Crohn’s Disease...
Read more Background Crohn’s Disease is a chronic inflammatory bowel disease characterized by transmural inflammation of the intestinal wall, often affecting the terminal ileum and colon (but may involve any portion of the digestive tract).Crohn’s Disease typically presents with an initial inflammatory infiltrate around the intestinal crypts, leading to ulceration that progresses from the superficial mucosa into deeper layers of the intestinal wall. Noncaseating granulomas, a hallmark feature, may develop but are not universally present. The characteristic cobblestone mucosal pattern and skip lesions...
Read more Findings and procedure details Crohn’s disease manifests variably, depending on the area involved.Common symptoms included: abdominal pain (usually in the right lower quadrant), diarrhea, weight loss, fatigue, fever, nausea,  vomiting. Severe cases presented with: intestinal obstruction and even intestinal perforation, rectal bleeding,  perianal disease (fissures, abscesses, fistulas). The main imagining modalities used were: plain abdominal radiographs (mainly used for detecting bowel obstruction and perforation) ultrasound (useful for evaluating bowel wall thickening, hyperemia, and abscesses) computed tomography (the gold standard for emergency evaluation) magnetic resonance imaging (provides superior soft–tissue contrast). The radiological findings were: bowel mural thickening (most frequently observed in the terminal...
Read more Conclusion Our take-home message would be that imaging not only aids in promptly diagnosing Crohn’s disease and its complications but also plays a critical role in guiding treatment decisions and improving patient outcomes.
Read more References Feuerstein, J. D., & Cheifetz, A. S. (2017). Crohn Disease: Epidemiology, Diagnosis, and management. Mayo Clinic Proceedings, 92(7), 1088–1103. https://doi.org/10.1016/j.mayocp.2017.04.010 Cheifetz, A. S. (2013). Management of active Crohn disease. JAMA, 309(20), 2150. https://doi.org/10.1001/jama.2013.4466 Furukawa, A., Saotome, T., Yamasaki, M., Maeda, K., Nitta, N., Takahashi, M., Tsujikawa, T., Fujiyama, Y., Murata, K., & Sakamoto, T. (2004). Cross-sectional imaging in Crohn disease. Radiographics, 24(3), 689–702. https://doi.org/10.1148/rg.243035120 Roda, G., Ng, S. C., Kotze, P. G., Argollo, M., Panaccione, R., Spinelli, A., Kaser, A., Peyrin-Biroulet, L., &...
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