Magnetic resonance imaging of Crohn disease: early recognition of treatment response and relapse.
A patient with active Crohn disease was evaluated by MRI at admission, clinical remission, and a new relapse. The MRI-estimated disease extension correlated with surgical findings, whereas ultrasonography underestimated and a small bowel series overestimated the extension. MRI disclosed the disappearance of intestinal edema at the time of clinical remission and, in contrast to ultrasonography, showed an abscess and a fistula, confirmed by surgery, at the new relapse.
Madsen
S M
SM
Department of Medical Gastroenterology, Herlev Hospital, University of Copenhagen, Herlev Ringvej, DK-2730 Herlev, Denmark.
Thomsen
H S
HS
Munkholm
P
P
Schlichting
P
P
Davidsen
B
B
D018784:Abdominal Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D019819:Budesonide; D003131:Combined Modality Therapy; D003424:Crohn Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D007082:Ileum / Q000187:drug effects / Q000473:pathology / Q000601:surgery; D007412:Intestinal Fistula / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011282:Pregnenediones / Q000008:administration & dosage*; D012008:Recurrence
D000893:Anti-Inflammatory Agents; D011282:Pregnenediones; D019819:Budesonide