Question 2476
{"accessible":true,"alternatives":[{"id":12167,"text":"abdominal distension"},{"id":12168,"text":"colicky abdominal pain"},{"id":12169,"text":"hematuria"},{"id":12170,"text":"rectal bleeding"},{"id":12171,"text":"vomiting"}],"archived":false,"correctAlternativeId":12170,"explanation":"\u003cp\u003eThere is thickening of the folds of the transverse colon, known as thumbprinting. This is a non-specific sign of colitis, and the most typical clinical symptom is rectal bleeding or passage of rectal mucus. There are no features of small or large bowel obstruction, or pneumoperitoneum. No renal, ureteric or bladder stones are identified.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":2476,"imageUrl":"https://prod-images-static.radiopaedia.org/images/54760044/InSightExport_1__big_gallery.jpeg","imageAttribution":{"kind":"case","rID":88277},"imageAttributionCaseInfo":{"title":"Thumbprinting in the colon","contributor_name":"Calum Jones","contributor_param":"calum-jones","case_rid":88277,"case_param":"thumbprinting-in-the-colon"},"firstQuestionPath":"/questions/2476","nextQuestionPath":"/articles/abdominal-radiography/questions/2475","relatedArticles":[{"id":12089,"title":"Thumbprinting","link":"/articles/thumbprinting?lang=us"}],"alsoUsedIn":[{"id":1287,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1287","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1287"},{"id":1287,"kind":"Course","title":"X-ray \u0026 Ultrasound Lectures - page 1287","link":"https://radiopaedia.org/courses/xray-lectures/pages/1287"}],"stem":"\u003cp\u003eOn the basis of this\u0026nbsp;radiograph of a 30-year-old man, what would you expect the main presenting symptom to be?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2476"}],"attemptsPercentages":[{"alternativeId":"12167","percentage":18},{"alternativeId":"12170","percentage":29},{"alternativeId":"12169","percentage":1},{"alternativeId":"12168","percentage":43},{"alternativeId":"12171","percentage":8}],"promptToLogin":false,"questionManager":false,"articleId":"abdominal-radiography"}