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Gastrointestinal Wall Thickening in Patients with Cirrhosis: Frequency and Patterns at Contrast-enhanced CT1

Okkes I. Karahan, MD 2, Gerald D. Dodd, III, MD, Kedar N. Chintapalli, MD, Hyunchul Rhim, MD, PhD 3 and Shailendra Chopra, MD, MRCP, FRCR

1 From the Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78284-7800. Received August 4, 1998; revision requested September 10; final revision received July 13, 1999; accepted July 26. Address reprint requests to S.C. (e-mail: chopra@uthscsa.edu).



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Figure 1. Contrast-enhanced, transverse CT image of the abdomen in a patient without cirrhosis shows normal wall thickness of the duodenum (straight solid arrow), the jejunum (arrowheads), the ascending colon (curved arrow), and the descending colon (straight open arrow).

 


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Figure 2a. Contrast-enhanced, transverse CT images of the abdomen obtained at different levels in a patient with cirrhosis show (a) duodenal wall thickening (arrowhead) and (b) ileal wall thickening (arrow). In a and b, note the enlarged spleen (arrow in a).

 


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Figure 2b. Contrast-enhanced, transverse CT images of the abdomen obtained at different levels in a patient with cirrhosis show (a) duodenal wall thickening (arrowhead) and (b) ileal wall thickening (arrow). In a and b, note the enlarged spleen (arrow in a).

 


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Figure 3. Contrast-enhanced, transverse CT image obtained at the level of the midabdomen in a patient with cirrhosis shows jejunal wall thickening (arrow).

 


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Figure 4. Contrast-enhanced, transverse CT image obtained at the level of the midabdomen in a patient with cirrhosis shows transverse colonic haustral thickening (arrow) without wall thickening.

 


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Figure 5. Contrast-enhanced, transverse CT image of the midabdomen in a patient with cirrhosis shows duodenal (arrowhead), ascending (curved arrow), and descending (straight arrow) colonic wall thickening.

 





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