Page 1 of 1: Radiology - Inflammatory Bowel disease

jgsharon · Credits: 9725 My Scrapbook

Barium enema shows

Pipe Stem appearance in --- ?

Hose pipe appearance in ---?

Lead pipe appearance in ---?

These terms are confusing me a lot

....unable to get proper info frm Robins.

Pls help me out with proper reference.

Thanks.

grandmaster · Credits: 4266 My Scrapbook

lead pipe appearance is given in Robbins ( ulcerative colitis )
Its also mentioned in CSDT beneath a figure
Pipe stem, I know is the same, sorry no ref for this

Never heard of hose pipe anywhere, is it the same?

jgsharon · Credits: 9725 My Scrapbook

Thanks grandmaster....

riya_123 · Credits: 2173 My Scrapbook

Crohn's disease most commonly affects young adults with a peak incidence at 20-30. Three principal macroscopic patterns are recognized. The first, ulceration of the mucosa can predominate. Initially, these are tiny pinpoint lesions (aphthous ulcers). Later, the ulcers become serpiginous and discontinuous. Secondly, strictures can develop which may be long or short, single or multiple. The classical type is a single "hose pipe" stricture of the terminal ilium. Third, the classic "cobblestone" appearance of the mucosa is caused by mucosal edema with intervening crevices or fissure formation.

riya_123 · Credits: 2173 My Scrapbook

So answer is Hose pipe appearance in-Crohn's disease!!

riya_123 · Credits: 2173 My Scrapbook

Barium enema examination demonstrates loss of haustral folds in the entire descending
colon with small ulcerations suggested. The colon has a "lead-pipe" appearance.
The distribution and appearance are suggestive of ulcerative colitis.

answer is LEAD-PIPE appearance in ulcerative colitis!!

jgsharon · Credits: 9725 My Scrapbook

Thanks a lot Riya!

So what's for pipe stem appearance?

What's ur ref. Riya?

nisha_ddoc · Credits: 595 My Scrapbook

pipe stem is also for ulcerative colitis

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