CASE 139

History: A 42-year-old woman presents with a 2-week history of vomiting and diarrhea.

1. What should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)

A. Scleroderma

B. Paralytic ileus

C. Celiac disease

D. Ileal dysgenesis

E. Small bowel obstruction

2. What is the most common cause of small bowel obstruction in young adults?

A. Adhesions

B. Intussusception

C. Small bowel tumor

D. Inflammatory disease

3. What finding is most consistently recognized in cross-sectional imaging of active Crohn’s disease?

A. Enhancement

B. Lymphadenopathy

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