Randhawa Amrik, Guzowski Tom
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
ACG Case Rep J. 2024 Sep 19;11(9):e01511. doi: 10.14309/crj.0000000000001511. eCollection 2024 Sep.
The use of intestinal ultrasound (IUS) in the clinical assessment of intestinal disorders remains in its infancy in North America. We present a case in which IUS was used as a complement to Crohn's disease treatment in a 19-year-old man. After endoscopy and diagnosis, IUS was employed alongside other investigations to elucidate the extent of disease activity. It allowed identification and monitoring of complications such as free fluid and mucosal inflammation. IUS provided a marker of disease activity, even during apparent clinical remission. This case demonstrates that IUS can enhance disease monitoring and inform direction of therapy.
在北美,肠道超声(IUS)在肠道疾病临床评估中的应用仍处于起步阶段。我们报告一例19岁男性患者,将IUS用作克罗恩病治疗的辅助手段。在内镜检查并确诊后,IUS与其他检查一起用于明确疾病活动程度。它能够识别并监测诸如游离液体和黏膜炎症等并发症。即使在明显的临床缓解期,IUS也能提供疾病活动的标志物。该病例表明,IUS可加强疾病监测并为治疗方向提供依据。