Acute ileo-colitis (enteritis)

10 yr boy presented with acute onset abdominal pain and vomiting.

Ultrasound findings

• Long segment circumferential wall thickening involving terminal ileum, cecum, ascending colon and transverse colon with maximum single wall thickness of 5.1 mm.
• No evidence of wall thickening of descending or sigmoid colon.
• Minimal interbowel fluid in pelvis.
• Multiple enlarged ileo-colic lymph nodes, largest measuring 2.3 x 1.4 cm. No evidence of necrosis.
• Appendix measures 4.8 mm and appears normal.
• Features suggestive of acute ileo-colitis (enteritis).

Shared for knowledge sharing. Patient details have been removed. This is not medical advice.