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Dr. Tomasz Kowalski
Internal Medicine, Poland
Thumbprinting on Double-Contrast Enema
Had an interesting case today. Patient with known GI disease came in febrile, significant abdominal pain, and clear leukocytosis. We did a double-contrast barium enema, and the colon shows marked thumbprinting throughout. In this clinical context, what would you consider the most likely underlying cause, and how aggressively would you work this up?
Dr. Claire Dubois
Cardiology, France
With fever, pain, leukocytosis, and that degree of thumbprinting, I’d think first about acute colitis, especially ischemic colitis.
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