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Inicio Radiología (English Edition) Acute abdominal pain in patients with Crohn's disease: What urgent imaging t...
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Vol. 61. Issue 4.
Pages 333-336 (July - August 2019)
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Vol. 61. Issue 4.
Pages 333-336 (July - August 2019)
Evidence-based radiology
DOI: 10.1016/j.rxeng.2019.03.006
Acute abdominal pain in patients with Crohn's disease: What urgent imaging tests should be done?
Dolor abdominal agudo en la enfermedad de Crohn. ¿Qué prueba de imagen urgente se debe hacer?
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P. Marazuela García
Corresponding author
marakb33@gmail.com

Corresponding author.
, A. López-Frías López-Jurado, A. Vicente Bártulos
Servicio de Radiología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Table 1. Clinical question according to the PIO strategy.
Table 2. Diagnostic accuracy of imaging tests in complications of Crohn's disease.
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Abstract

Crohn's disease is an autoimmune disease that predominantly affects the gastrointestinal tract. Crohn's disease is diagnosed at a young age and runs a chronic course with acute flare-ups. When patients with Crohn's disease present with flare-ups at the emergency department, they are usually managed in a way similar to patients with acute abdomen; there is no consensus about the most appropriate imaging work-up for patients with flare-ups of Crohn's disease. Thus, we decided to review the literature about the imaging tests indicated (whether related to their diagnostic performance or to lower exposure to ionizing radiation) for acute flare-ups in patients with Crohn's disease.

Keywords:
Crohn disease
Inflammatory bowel diseases
Tomography, X-ray computed
Magnetic resonance imaging
Ultrasonography
Emergency Medicine
Resumen

La enfermedad de Crohn es una patología de etiología autoinmunitaria, con afectación predominante del aparato digestivo. Se trata de una enfermedad que se diagnostica a edad temprana y presenta un curso crónico con reagudizaciones. Estos brotes se suelen manejar de forma similar a un abdomen agudo en los pacientes que acuden a los servicios de urgencias, y no existe un consenso sobre cuáles serían las pruebas de imagen más adecuadas. Debido a esta controversia, se ha decidido realizar una revisión de la bibliografía actual sobre cuáles serían las pruebas de imagen indicadas (ya sea por rendimiento diagnóstico o por menor exposición a radiación ionizante) en el brote agudo de pacientes con enfermedad de Crohn.

Palabras clave:
Enfermedad de Crohn
Enfermedad inflamatoria intestinal
Tomografía computarizada
Resonancia magnética
Ecografía
Emergencias

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