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A previously well 15-year-old boy presented with a month-long history of bloody diarrhoea, weight loss, low albumin and coexistent dysuria. An ultrasound of the abdomen showed appearances suggestive of terminal ileal thickening and mesenteric oedema. There was also an irregular bladder wall mass measuring 1.5 cm in maximal thickness (figure 1). An MRI showed appearances consistent with Crohn's disease, with marked inflammatory change in the distal small bowel and proximal …
Contributors CEE involved in acquisition of data from patient's notes and from previous published articles, drafted the work and revised it as appropriate, approved the final version for publication and agreed to be accountable for all aspects of the work; MT came up with the concept for the publication and assisted in the acquisition and analysis of data, critically revised the report, approved the final version for publication.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.