0:01

So another finding that's important to

0:02

discuss is the presence of sacculations.

0:05

And what these are, are broad-based outpouchings that

0:10

occur along the anti-mesenteric border of the bowel.

0:13

And so this is a, in this case, which

0:15

we've seen earlier, we do see a number

0:17

of areas of bowel that are dilated.

0:21

And so this area here, you can see on the mesenteric

0:24

side, it looks fairly normal, but it's really

0:27

thin and distended on the anti-mesenteric side.

0:31

You can see it a bit there.

0:32

You can see it on this, in this location,

0:34

you can see it kind of on a long sacculation

0:38

down here in the left lower quadrant.

0:40

And this is kind of the same as that differential

0:44

enhancement of the mesenteric side of bowel.

0:47

And it's a very specific finding for

0:50

chronic changes of Crohn's disease.

0:53

It's really due to that chronic inflammation and areas

0:57

of shortening of the gut along the mesenteric border.

1:00

And so,

1:01

it's important to mention when you see it because

1:03

it's such a specific finding for Crohn's disease

1:06

and it's a very typical finding that we, we often see

1:09

in these, you know, severe chronic patients.

Sacculations As a Finding – Crohn’s Disease

HIDE

Prev Next

Interactive Transcript

Pro Tip: Click on a word in the transcript to jump to that point in the video