CONTRAST ENEMA FINDINGS OF FIBROSING COLONOPATHY

Purpose. Our objective was to describe characteristic contrast enema f indings of fibrosing colonopathy. Materials and methods. We performed barium enemas on 18 children with cystic fibrosis who had received gre ater than 4500 U of lipase per kg body weight per meal and who had dis tal intestinal obstruction syndrome unresponsive to medical management . Results. Fifteen patients had abnormal enema results. The most commo n findings included structure, loss of haustra, and colonic shortening . Ten patients required surgery, nine underwent colon resection, and o ne had lysis of adhesions. Pathologists confirmed fibrosing colonopath y in eight of nine specimens. Conclusion. Colonic structure, abnormal haustra, and longitudinal shortening are characteristic barium enema f indings of fibrosing colonopathy.