The early manifestation of Yersinia colitis demonstrated by the double-contrast barium enema.
A 19-year old female with a bloody, diarrheal illness of acute onset where Crohn's disease primarily was suspected is presented. The double - contrast barium enema revealed multiple, diffusely scattered aphthous erosions of the colonic mucosa: the rectum was scarcely affected. Biopsies taken by endoscopy demonstrated nonspecific inflammatory changes of the mucous membrane. However, routinely taken stool cultures revealed an infectious colitis due to Yersinia enterocolitica. Our case demonstrates the necessity to consider Yersinia enterocolitis in the radiographic differential diagnosis when the diagnosis of Crohn's disease or ulcerative colitis seems obvious.
D000328:Adult; D001466:Barium Sulfate; D003092:Colitis / Q000000981:diagnostic imaging*; D003424:Crohn Disease / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004733:Enema; D005260:Female; D006801:Humans; D011859:Radiography; D015009:Yersinia Infections / Q000000981:diagnostic imaging*; D015008:Yersinia enterocolitica
D001466:Barium Sulfate