title: Feasibility of CEUS and strain elastography in one case of ileum Crohn stricture and literature review.
abstract: Contrast-enhanced ultrasonography (CEUS) and strain elastography (SE) are diagnostic imaging methods, which are still not routinely used in the clinical management of inflammatory bowel diseases. However, there are studies in the literature reporting on the use of both CEUS and SE in patients with bowel obstruction due to Crohn's disease, documenting the usefulness of these two methods in the differentiation between inflammation and fibrosis affecting the bowel wall. The aim of this case report is to evaluate the usefulness of CEUS and SE performed in a patient with Crohn's disease, who was admitted to hospital with bowel obstruction due to terminal ileal stricture and submitted to ileocecal resection. CEUS and SE identified and to some extent also characterized the inflammatory and fibrotic processes affecting the bowel wall. Macroscopic and microscopic examinations of the surgical specimen confirmed the presence of inflammatory phenomena (exudates, ulcers, and fistulas) and fibrosis as suggested by ultrasound (US) imaging methods.
authors.affiliation: Gastroenterology Unit, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
authors.forename: Andrea
authors.identifier: 0000-0001-8354-7789
authors.initials: A
authors.lastname: Giannetti
authors.affiliation: Gastroenterology Unit, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Biscontri
authors.affiliation: Gastroenterology Unit, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Matergi
authors.affiliation: Pathology Department, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Stumpo
authors.affiliation: Pathology Department, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Minacci
mesh_terms: D000328:Adult; D003113:Colonoscopy; D003287:Contrast Media; D003424:Crohn Disease / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D054459:Elasticity Imaging Techniques / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods
chemical_list: D003287:Contrast Media