EURORAD ESR

Case 15281

Brown tumours in association with ulcerative colitis: An unusual case

Author(s)
Dr. F. Ahmed, Dr. K. Rana

Sandwell General Hospital, SWBH NHS Trust, Radiology; Lyndon, West Bromwich B71 4HJ Birmingham; Email:khizerrana@yahoo.co.uk
 
Patient
male, 23 year(s)
 
 
  • Figure 1
    CT abdomen and pelvis with contrast (axial)

    Wall thickening in the sigmoid consistent with active colitis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    MRI abdomen (post gad T1 and T2 axial)
     

    Thickened sigmoid with avid enhancement consistent with colitis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Diffuse wall thickening in the sigmoid colon (T2 axial).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    CT pelvis with contrast (axial & sagittal views)
     

    Axial view of the pelvis, showing lytic lesion in right iliac bone (yellow arrow) and bilateral sacroiliitis (red arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal view showing lytic lesion in right iliac bone.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    MRI Abdomen T2 (axial & coronal)
     

    Lytic lesion (blue arrow) in right Iliac bone with high T2 signal.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Lytic lesion (blue arrow) in left Iliac bone with high T2 signal.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Lytic lesions (blue arrows) in both Iliac bones with high T2 signal.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    MRI abdomen (post gad T1 axial)

    Post Gad T1 sequence showing bilateral sacroilitis (yellow arrows) with a lytic lesion (blue arrow) in the right iliac bone.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Wall thickening in the sigmoid consistent with active colitis.
 
Thickened sigmoid with avid enhancement consistent with colitis.
 
Diffuse wall thickening in the sigmoid colon (T2 axial).
 
Axial view of the pelvis, showing lytic lesion in right iliac bone (yellow arrow) and bilateral sacroiliitis (red arrows).
 
Sagittal view showing lytic lesion in right iliac bone.
 
Lytic lesion (blue arrow) in right Iliac bone with high T2 signal.
 
Lytic lesion (blue arrow) in left Iliac bone with high T2 signal.
 
Lytic lesions (blue arrows) in both Iliac bones with high T2 signal.
 
Post Gad T1 sequence showing bilateral sacroilitis (yellow arrows) with a lytic lesion (blue arrow) in the right iliac bone.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version