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Ankylosing spondylitis

Case contributed by Mohammed Dafalla Ibrahim Dafalla
Diagnosis almost certain

Presentation

Abdominal pain and low back for one week.

Patient Data

Age: 60
Gender: Male
x-ray

Bamboo spine is noted with obliteration of the sacroiliac joint on the left and partial obliteration of SI on the right.

Prominent small bowel lobes noted with multiple air-fluid level.

Case Discussion

The case was confirmed to be Crohn's disease by intestinal biopsy and histopathology. Genetic testing was positive for HLA-B27 . 

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