Crohn's disease complicated by toxic dilatation.A plain film was taken of this 23-year-old female patient with rapid deterioration in her general condition, diarrhoea, abdominal distension and rectal bleeding. It shows generalized dilatation of the transverse colon (8cm between arrows). In addition, there is marginal irregularity, 'thumbprinting', in keeping with diffuse inflammatory change. Toxic dilatation was confirmed at operation. At this stage it is impossible to distinguish Crohn's disease from non-specific ulcerative colitis on plain films.
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