超音波検査にて経過を観察しえたクローン病の1例

Abstract

Gray-scale and color Doppler ultrasonography have been shown to be useful for examinlng patients with a variety of bowel diseases. We present here a case of a 27-year-old man with Crohn's disease who was examined trasonographically during the courseoftreatment. Gray-scale ultrasonography revealed marked thickening of the bowel wall, specifically thickening of all the layers. Contrast-enhanced power Doppler US showed hypervascularity of all the layers. With effective treatment, thickening and hypervascularity of the bowel wall disappeared promptly. We conclude that information provided by ultrasonography is useful not only for detecting the bowel abnormality of Crohn's disease but also for evaluating the therapeutic effect on Crohn's disease, and that explanations of anesthesia at pre- and post-anesthetic clinic were useful methods for anesthetic patients.