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Gastrointestinal problem
Circumferential edematous wall thickening of distal jejunal loops, all along the ileum of maximum thickness 7-8mm with prominenet vasa recta & extensive surrounding mesenteric fat stranding noted.
Multiple prominent discrete mesenteric nodes noted.
Minimal fluid noted in the abdomen
Answers (9)
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This imaging pattern â circumferential small bowel wall thickening (jejunum + ileum), prominent vasa recta (comb sign), mesenteric fat stranding, discrete mesenteric lymph nodes, and minimal ascites â is very characteristic of Crohn's disease, particularly given your autoimmune background and young age. Intestinal tuberculosis must also be strongly considered in an Indian patient as it can be radiologically identical. These two conditions need to be differentiated before starting treatment, as the management differs significantly â steroids used in Crohn's can worsen TB.
Next Steps
Urgent gastroenterology referral. Get colonoscopy with terminal ileum intubation and biopsies (for granulomas, AFB staining). Also: IGRA/Mantoux, stool CBNAAT, CRP, ESR, stool calprotectin, and ASCA/p-ANCA. MRI enterography will better characterize the small bowel involvement.
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Hi! 😊
The CT findings point towards an inflammatory condition like Crohn’s, which is manageable with the right treatment.
I can help get good control and relief.
Book a quick consultation with me now I’ll review the full report and give you a clear plan for next steps.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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??tuberculosis
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Abnormal
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Dr. Madhurika Agrawal
General Physician
32 yrs exp
Ghaziabad
What are your symptoms? No doctor treats the reports. With your symptoms no one can correlate your report. Though it could be intestinal tuberculosis.
Next Steps
Share your symptoms first
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.