24 Small Bowel Dilatation

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig GI 24-1 Surgical vagotomy with partial gastrectomy and Billroth-II anastomosis.

• Fig GI 24-2 Idiopathic (nontropical) sprue. Note the pronounced hypersecretion.

Fig GI 24-3 Scleroderma. For the degree of dilatation, the small bowel folds are packed remarkably close together (hidebound pattern).

• Fig GI 24-4 Lactase deficiency. (A) Normal conventional small bowel examination. (B) After the addition of 50 g of lactose to the barium mixture, there is marked dilatation of the small bowel with dilution of barium, rapid transit, and reproduction of symptoms.

• Fig GI 24-5 Systemic lupus erythematosus.

• Fig GI 24-6 Amyloidosis.