Question 1334
{"accessible":false,"alternatives":[{"id":6651,"text":"asymmetric wall thickening"},{"id":6652,"text":"necrotic lymphadenopathy"},{"id":6653,"text":"preferential cecal involvement"},{"id":6654,"text":"pseudosacculation"},{"id":6655,"text":"retraction of cecum superiorly"}],"archived":false,"correctAlternativeId":6654,"explanation":"\u003cp\u003eIn ileocecal tuberculosis, the cecum is typically more involved than the terminal ileum, with asymmetric thickening. With time, the cecum can become retracted superiorly due to fibrosis. Tuberculous lymph nodes have low-density centers due to necrosis.\u003c/p\u003e\u003cp\u003eIn Crohn's disease, the ileocecal thickening is symmetrical, with other possible findings being fistulation to adjacent bowel loops and pseudosacculation on the anti-mesenteric border.\u0026nbsp;\u003c/p\u003e\u003cp\u003eFindings may overlap and ultimately biopsy is required to make a definitive diagnosis.\u003c/p\u003e","id":1334,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2078","nextQuestionPath":"/articles/ileocaecal-tuberculosis-1/questions/1204","relatedArticles":[{"id":6791,"title":"Crohn disease","link":"/articles/crohn-disease-1?lang=us"}],"alsoUsedIn":[{"id":457,"kind":"Course","title":"Radiology Review Course - Melbourne - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/457"},{"id":457,"kind":"Course","title":"Radiology Review Course - Melbourne - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/457"},{"id":457,"kind":"Course","title":"Radiology Review Course - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/457"},{"id":620,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 620","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/620"},{"id":620,"kind":"Course","title":"2020 Virtual Conference Private Use - page 620","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/620"},{"id":635,"kind":"Course","title":"Lectures by Vikas Shah - page 635","link":"https://radiopaedia.org/courses/lectures-by-vikas-shah/pages/635"},{"id":635,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 635","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/635"},{"id":635,"kind":"Course","title":"2020 Virtual Conference Private Use - page 635","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/635"},{"id":681,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 681","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/681"},{"id":681,"kind":"Course","title":"2020 Virtual Conference Private Use - page 681","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/681"}],"stem":"\u003cp\u003eWhich of these features is more characteristic of ileocecal involvement by Crohn's disease\u0026nbsp;than by tuberculosis?\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/1334"}],"attemptsPercentages":[{"alternativeId":"6655","percentage":6},{"alternativeId":"6652","percentage":3},{"alternativeId":"6653","percentage":17},{"alternativeId":"6651","percentage":22},{"alternativeId":"6654","percentage":52}],"promptToLogin":false,"questionManager":false,"articleId":"ileocecal-tuberculosis"}