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 arise from alternating affected and healthy mucosa areas. Recurrent cycles of inflammation and fibrosis result in stricture formation and bowel obstruction. The inflammatory process may extend to adjacent structures in advanced stages, resulting in fistulas (such as enterovesicular, enteroenteral, or enterocutaneous) and abscesses.

Radiology imagining has become essential in managing these complications, which is critical to avoiding severe outcomes such as bowel perforation and sepsis. Distinguishing Crohn’s complications from other conditions, such as infectious colitis, ischemic colitis, and malignancy, is essential in emergency settings.

We retrospectively analyzed the patients who presented to our emergency department with symptoms suggestive of Crohn's disease between January 2019 and September 2024.