Ba follow through study for ileocecal region

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Ba follow through study for ileocecal region

  1. 1. Barium follow through study <ul><li>Ileocaecal region _ variety of lesions </li></ul><ul><li>By _ Dr Rekha Khare </li></ul><ul><li>M.D. Radiology </li></ul>
  2. 2. Ileocaecal region _ Normal
  3. 3. Deformed cecum, dilated terminal ileum and obtuse ileocecal angle
  4. 4. Multiple strictures _string sign
  5. 5. Poor filling of cecum, dilated terminal ileum
  6. 6. H/O Rt hemicolectomy Biopsy _ T.B.
  7. 7. Bilateral active tuberculosis with ileocaecal T.B
  8. 8. On ATT with ileocaecal T.B.
  9. 9. Spastic cecum Transit time _ 10 hrs
  10. 10. Strictures, contracted cecum and distorted angle
  11. 11. Ileocecal T.B. stricture in transverse colon ascitic fluid cytology_ T.B. nature
  12. 12. Transit time 13 hrs deformed and mobile cecum
  13. 13. Delayed gastric emptying time transit time 8 hrs.
  14. 14. Malabsorption pattern ( 45 mts) symptoms mimic like T.B.
  15. 15. Ileocecal region not seen after 8 hrs stricure 2 nd part of duodenum biopsy _ T.B.
  16. 16. Ileocecal region not seen after 14 hrs on op. _ stricture at distal end of jejunum
  17. 17. Bypass surgery done
  18. 18. Round worm infestation linear filling defects
  19. 19. Rt Hemicolectomy _ widespread involvement ? crohn’s disease ( biopsy not available)
  20. 20. Ileocecal T.B. _ before Tt
  21. 21. After Tt. Pain not relieved
  22. 22. Mobile cecum _ supine position
  23. 23. Mobile cecum _ head down position
  24. 24. Mobile cecum _ head down position
  25. 25. Mobile cecum _ standing position cecopexy done
  26. 26. Finally <ul><li>Majority ileocaecal T.B. </li></ul><ul><li>Few with pulmonary T.B. </li></ul><ul><li>Mobile cacum might give vague symptoms like T.B. </li></ul><ul><li>Thank you very much </li></ul><ul><li>have pleasant time </li></ul>

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