Aphthous Ulcer?

[Tracey1788]

Can anyone explain whether or not an aphthous ulcer in the t.i.and partial collapse of terminal Ileum is indicative of Crohns?

My mre reveals partial collapse of T.I and moderate diverticulosis affecting the descending and sigmoid colon Also a baggy extrarenal pelvis. I should be having a capsule endoscopy organised in due course. Incidently my eus indicated a mild chronic gastritis with odema and vertical muscularization. Negative for malignancy.

Any advice is very much appreciated. Thanks

 

[Tracey1788]

Panic over I just found this on the internet, so hopefully I have answered my own question.

The aphthous ulcer is the earliest and most characteristic endoscopic finding in Crohn's disease. (Fig 1). t can be found throughout the gastrointestinal tract. An aphthous ulcer represents a small (max. 5 mm) superficial ulcer surrounded by a characteristic tiny rim of erythema (Fig. 2). Aphthous ulcers can appear in a single segment or be spread throughout the colon [3–7]. They are often seen in groups, tend to enlarge concentrically, and give rise to larger and deeper ulcerations. Larger and deeper ulcers are also commonly observed [8]. They have clear margins and are often surrounded by normal colonic mucosa with very little reactive change (Fig. 3).