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.