Fig. 9.

a Abdominal radiograph of a 20-year-old female with SCI and abdominal pain shows a dilated ascending and transverse colon (white line) with loss of colonic haustrations (white arrowheads) and pseudo-poly formation of the colonic mucosa (black arrow), concerning for toxic mega colon. b The corresponding coronal CT images confirm radiographic findings of bowel dilatation (white line), bowel wall thickening and oedema (white arrow) and mucosal pseudo-polyps (black arrow) typically associated with toxic megacolon