Presentation
Chronic abdominal pain and rectal bleeding for one year.
Patient Data
Age: 25 years
Gender: Male
From the case:
Lead pipe colon - ulcerative colitis
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Single contrast barium enema demonstrates a featureless transverse, descending, and sigmoid colon, lacking normal haustral marking appearance called lead pipe appearance. There are no stenoses or masses.
No evidence of fistula formation.
The ascending colon appears normal with preserved normal haustral folds.
Case Discussion
Colonoscopy and biopsy revealed ulcerative colitis as inflammatory bowel disease.
The lead pipe appearance of the colon is the classical barium enema finding in chronic inflammatory bowel disease (ulcerative colitis).