HX:A 32 year old woman , long period of belly abdominal pain .

Findings: Thick- wall bowel loops , interlope fluid . abscess formation in left side of pelvis .

Diagnosis: Chron’s disease in rectosigmoid, involvement of both fallopian tube, rectovesical fistula.

Discussion: Chron’s disease is a lifelong inflammatory bowel disease that usually is found in illeocecal region. But it can develop anywhere in the digestive tract from the mouth to the anus. (Above case had rectosigmaid colon and adjacent anatomy involvement with normal illeocecal region on barium study).