This air contrast barium enema revealed a granular mucosal pattern from the rectum throughtout the hepatic flexure. This region is also narrowed with loss of haustrations giving the lead pipe appearance. The terminal ileum shows narrowing, demonstrating that it is also affected.
Black arrowheads = rectum
Black arrow = transverse colon
White arrowheads = descending colon
This is a 32 y.o. male with a one year history of recurrent abdominal pain and diarrhea currently presenting with abdominal pain and bloody diarrhea. On the day of admission his hematocrit was 28, down from 43 three weeks ago.