CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 24Small Bowel Dilatation

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

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

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

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

6. • 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.

7. • Fig GI 24-5 Systemic lupus erythematosus.

8. • Fig GI 24-6 Amyloidosis.