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Git signs
This document provides a list of over 50 gastrointestinal signs seen on imaging with brief descriptions. Some of the signs included are: - Windsock sign which indicates intraluminal duodenal diverticulum. - Cobblestone sign seen in Crohn's disease which is characterized by a granular mucosa. - String sign seen in Crohn's disease presenting as longitudinal ulcers. - Pearl necklace sign seen with adenomyomatosis of the gallbladder appearing as dilated biliary radicles. - Hourglass or collar sign indicating a diaphragmatic hernia. The document serves as a reference for various imaging findings or "signs" seen in gastrointestinal diseases and
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Git signs
- 1. Collected by Dr.Dalia El Said Ain Shams university GIT SIGNS
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- 3. Ram’s horn sign Conicalnarrowing of antrum = Crohns
- 4. Thumb printing sign -Pseudo-membranous colitis - Ischemic colitis - IBD
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- 8. Reversed jeujuno-ileal fold pattern Celiacdisease/sprue
- 9. Cobble stone sign Crohnsdisease
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- 12. Bowler hat sign Sessilecolonic polyp
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- 14. Bull’s eye lesions oMetastases from melanoma or lymphoma o Kaposi sarcoma
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- 16. Pearl necklace sign Adenomyomatosisof GB (arrows)
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- 18. Picket fence pattern Acutesmall bowel Ischemia (submucosal hemorrhage…narrowed loops)
- 19. Stack of coinssign Scleroderma – sprue (Dilated loops)
- 20. Fold thickening Submucosal edema/hge ….e.g Ischemia Smooth Mucosal infiltration Whipple /diffuse Nodular
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- 25. Flip-flop appearance Budd Chiari Delayed enhancementof the peripheral liver Arterial phase -- peripheral hypodensity and central enhancement. Delayed phase-- reversal of enhancement pattern.
- 26. Capsular retraction sign (without mass) Confluent hepaticfibrosis Abnormal delayed enhancement at the medial segment of the left hepatic lobe.
- 27. Pancreatic lipomatosis Cystic fibrosis D.M Steroids Cushing$ Shwachman diamond $
- 28. Capsular retraction sign with dilatedbiliary radicles = Cholangiocarcinoma
- 29. Hot spot sign SVCobstruction
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- 31. Cocoon sign Sclerosing encapsulatingperitonitis (SEP)
- 32. Punch of grapesign IPMN
- 33. Hourglass or collarsign Diaphragmatic hernia
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- 35. Misty mesentery sign Mesentericpanniculitis
- 36. Spider web sign BuddChiari syndrome
- 37. Left Paraduodenal hernia(gathered loops in mass like fashion).
- 38. Small bowel faecessign. Open loop obstruction
- 39. Hamburger sign NHL (Lymph nodesencase mesenteric vessels)
- 40. Target sign Liver metastases.Inflammatory lesions of bowel
- 41. WES sign /Wall echo shadow sign Gallstones within a contracted gallbladder.
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- 43. Foramen of Winslowhernia Anterior to IVC and posterior to the hepatoduodenal ligament (including PV, CBD & HA)
- 44. Right Paraduodenal hernia Throughfossa of Waldeyer (located behind SMA (arrowhead)
- 45. Left Paraduodenal hernia ThroughFossa of Landzert. Inferior mesenteric vein (arrow head) lies in its anterior wall.
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- 51. Champagne glass sign Emphysematouscholecystitis
- 52. Target fat sign ChronicCrohn’s. Chronic UC. Chemotherapy.
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- 54. Saw tooth appearance(of the denervated segment) Hirschsprung disease
- 55. Rigler / bas-reliefsign Pneumoperitoneum Air on both sides of bowel wall
- 56. Cork Screw appearance Midgutvolvulus
- 57. Tram track appearance( due to Pneumatosis intestinalis) Necrotizing enterocolitis
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- 59. Telltale sign /Trianglesign Pneumoperitoneum
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- 61. Infant with failureto pass meconium
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