Transcript
20 Thickening of Duodenal Folds
CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL
• Fig GI 20-1 Zollinger-Ellison syndrome. Diffuse thickening of folds in the proximal duodenal sweep is associated with bulbar and postbulbar ulceration (arrows).
• Fig GI 20-2 Acute pancreatitis. Note the widening of the duodenal sweep, double-contour effect, and sharp spiculations.
• Fig GI 20-3 Tuberculosis. Diffuse fold thickening, spasm, and ulceration of the proximal duodenum.
• Fig GI 20-4 Metastases to peripancreatic lymph nodes cause localized impressions on the duodenum simulating thickened folds.
• Fig GI 20-5 Duodenal varices (arrows).
• Fig GI 20-6 Cystic fibrosis.
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