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- W2110293844 abstract "A 46-year-old man was referred to our Institution for severe Crohn's colitis following azathioprine withdrawal. Symptoms and C-reactive protein levels moderately improved after a five-day course of methylprednisolone (0.8 mg/kg/day). Abdominal magnetic resonance imaging showed colonic inflammation. Colonoscopy was performed and confirmed the presence of colonic lesions from Crohn's disease. Colonoscopy confirmed radiological findings with severe lesions mainly in the ascending colon, and the absence of colonic stricture. Routine chest radiography was performed on the next day and showed a large, round, air-filled image in the right hypochondrium (Fig. 1A), without any other abnormal finding. Computed tomography ruled out intestinal perforation, and confirmed a massive (12 cm) expansion of the right colonic flexure, pushing the liver to the left (Fig. 1B). Left hepatic lobe atrophy was notably absent. Besides a pre-hepatic tympanic sound on abdominal percussion, this colectasia did not cause any specific symptoms. Although clinical and biological abnormalities completely regressed, colonic expansion persisted on subsequent radiographies even after 5-month follow-up." @default.
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- W2110293844 date "2011-12-01" @default.
- W2110293844 modified "2023-09-25" @default.
- W2110293844 title "Air mass pushing the liver" @default.
- W2110293844 doi "https://doi.org/10.1016/j.dld.2011.06.005" @default.
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