CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 10Filling Defects in the Stomach

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

3. • Fig GI 10-1 Hyperplastic polyps. Multiple
smooth filling defects of similar sizes.

4. • Fig GI 10-2 Adenomatous polyp. A long, thin
pedicle (arrows) extends from the head of the
polyp to the stomach wall.

5. • Fig GI 10-3 Leiomyoma of the fundus (arrow).

6. • Fig GI 10-4 Carcinoma of the stomach. A huge
ulcer is evident in the smooth, fungating
polypoid mass (arrows).

7. – Fig GI 10-5 Lymphoma. Multiple ulcerated, polypoid gastric
masses (arrows).

8. • Fig GI 10-6 Leiomyosarcoma. There is
scattered ulceration in this bulky tumor.

9. Fig GI 10-7 Ectopic pancreas. Central opacification (white
arrow) of a rudimentary pancreatic duct in a soft-tissue
mass (black arrows) in the distal antrum.

10. • Fig GI 10-8 Alcoholic gastritis. Multiple
nodular filling defects (suggesting polyps) are
due to enlarged gastric folds viewed on end.

11. • Fig GI 10-9 Glue bezoar in a young model-
airplane builder. The smooth mass simulates
an enormous air bubble.

12. • Fig GI 10-10. Peptic ulcer disease. There are
innumerable small mucosal and submucosal
polypoid masses, several of which contain
ulcer craters (arrow).21

13. • Fig GI 10-11 Peptic ulcer disease. (A) Large
incisura (black arrow) simulating a filling defect
on the greater curvature. The incisura is incited
by a long ulcer (white arrows) on the lesser
curvature. (B) Double pylorus. The true pylorus
and the accessory channel along the lesser
curvature are separated by a bridge, or septum,
that produces the appearance of a discrete lucent
filling defect (arrow).

14. • Fig GI 10-12 Normal Nissen fundoplication.
The distal esophagus with normal mucosal
pattern (closed arrows) passes through the
fundal pseudotumor (open arrows).22