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Inflammatory Bowel Disease in Children and Young Adults

Correlation of Sonographic and Clinical Parameters During Treatment

Lynne Ruess1,2,3, Anna R. Nussbaum Blask1,2, Dorothy I. Bulas1,2, Parvathi Mohan2,4, Ali Bader2,4, John S. Latimer2,4,5 and Benny Kerzner2,4

1 Department of Diagnostic Imaging and Radiology, Children's National Medical Center, 111 Michigan Ave., N.W., Washington, DC 20010.
2 Department of Pediatrics, Children's National Medical Center, Washington, DC 20010.
3 Present address: Department of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Rd., Honolulu, HI 96859-5000.
4 Department of Gastroenterology, Children's National Medical Center, Washington, DC 20010.
5 Present address: Division of Pediatric Gastroenterology and Nutrition, Pasquerilla Healthcare Center, 2nd Fl., 3800 Reservoir Rd., N.W., Washington, DC 20007.



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  		Fig. 1. —Transverse sonogram of thickened bowel segment in right lower quadrant. Bowel wall thickness (4.1 mm) is measured from edge of outer wall to inner echogenic lumen, which contains air. Air shadows portion of posterior wall of bowel.

 


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  		Fig. 2A. —15-year-old girl with Crohn's disease, newly diagnosed. Power Doppler sonogram in right lower quadrant shows thick-walled segment of bowel with grade 4 vascularity.

 


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  		Fig. 2B. —15-year-old girl with Crohn's disease, newly diagnosed. Power Doppler sonogram of same segment as A after therapy shows decrease in bowel wall thickness and grade 1 vascularity. Patient is in clinical remission.

 

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