Your ultimate resource for Gastroenterology teaching files and Gastroenterology imaging & case of the day. Improve your diagnostic imaging skills online.

Adult female with abdominal pain, hepatomegaly, diarrhea, and multiple episodes of pseudoobstruction

  • Systemic disorder with Skeletal, renal, pulmonary and gastrointestinal manifestations
  • SB: Hidebound(stacked coins) Ė normal thickness/tightly packed within dilated segment Pseudodivertuculi messenteric border from scarring. Pneumatosis coli intestinalis

Hidebound or stacked coin pattern with pseudodiverticula of antimessenteric border

Thumbnail image
Duke Notes SB Diverticuli

  • Diverticulosis Ė messenteric border, acquired outpouchings ie colon with same string of associations
  • Meckelís diverticulum Ė remnant of omphalomessentric duct, arises in distal ileum, antimessentric, rule of 2ís(w/l 2 ft IC valve, length 2 in., present age<2), 1/3 contain gastric mucosa, 2/3 symptomatic contain gastric mucosa
  • Pseudodiverticuli/sacculations Ė cinching on antimessenteric border from chronic inflammatory disease with fibrosis(Crohns) and muscle atrophy(Scleroderma)
Meckelís Diverticulum
Meckelís diverticulum on SBFT(arrow) during contraction (left) and filling phase (right)
Thumbnail imageThumbnail image
Meckelís diverticulum attached to the umbilicus by the obliterated omphalomesentric duct
Rectal contrasted CT demonstrating inverted Meckelís diverticulum with intussusception. Notice the central fat and soft tissue filling defect
Thumbnail imageThumbnail image

Thumbnail image
Small bowel barium examination, demonstrates numerous bariumfilled messenteric
border diverticuli. Notice the absence of hidebound pattern seen in Scleroderma and strictures/fistula seen in Crohnís.

Tags ,
These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.