Clinical presentation:
Follow-up of a 30 year old female for known chronic condition treated conservatively for the last 10 years.
The follow-through barium examination shows contrast in the ascending colon, which has not reached the splenic flexure. The examination shows contrast in widely separated loops of narrowed ileum. These show generally thickened mucosal folds. There is pseudodiverticula formation on the antimesenteric side of the terminal ileum about 15 cm.from the ileocaecal valve. Nearer the valve, a fistula from the ileum has filled sigmoid colon. The distribution of affected bowel suggests an inflammatory mass with its centre of radius over the medial side of the lower pole of the caecum.
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