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Cobble Stone Appearance of the Bowel in Crohn's Disease

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Cobble Stone Appearance of the Bowel in Crohn's Disease -Reason why it is termed so -Pathophysiology

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Cobblestone appearance of the bowel
May 06, 2020
dr.priya07_DecodedMedicine

Cobblestones are naturally rounded stones (larger than a pebble and smaller than a boulder) with a

characteristic rounded upper surface.



These stones are used in paving streets or construction. The cobble stoned pavements are set in such

a way that the cobble stones are irregularly placed between the surface of the road.




Cobblestone pavement


Crohn's disease is characterised by cobblestone appearance of the intestinal mucosa

involving mainly the terminal ileum and the colon.



In Crohn's disease, similar to cobble stone pavements, the mucosal surface of intestine

shows areas of mucosal island (cobblestone like) interspersed with fissures (like the

road surface in-between cobble stones).
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