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Radiology

Mesenteric Small Bowel

Built from Fundamentals of Diagnostic Radiology

What’s inside

8 sections · 109 slides

  1. 01

    Overview

    • Topic overview

    1 slide

  2. 02

    Imaging Methods

    How the small bowel is studied

    • Why imaging leads in small bowel disease
    • Small bowel follow-through
    • Normal Small Bowel Follow-Through
    • Fluoroscopic enteroclysis
    • Normal Small Bowel Enteroclysis
    • CT enteroclysis
    • CT enterography
    • CT and MR Enterography
    • MR enterography and enteroclysis
    • Diagnostic findings on CT and MR of the GI tract
    • Capsule endoscopy

    11 slides

  3. 03

    Anatomy

    Jejunum, ileum, and the mesentery

    • The mesenteric small intestine
    • Mesenteric and antimesenteric borders
    • Jejunum versus ileum
    • Villi and absorptive surface
    • <3 cm
    • Normal small bowel measurements

    6 slides

  4. 04

    Mass Lesions

    Filling defects and tumors of the small bowel

    • Small bowel neoplasms at a glance
    • Carcinoid tumor
    • How carcinoid injures the bowel
    • Carcinoid imaging findings
    • Carcinoid Tumor
    • Adenocarcinoma
    • Adenocarcinoma of the Jejunum—SBFT
    • Adenocarcinoma of the Jejunum—CT
    • Annular constricting lesions of the small bowel
    • Lymphoma
    • Lymphoma imaging patterns
    • B-Cell Lymphoma—UGI
    • B-Cell Lymphoma—MR
    • B-Cell Lymphoma—CT
    • Sandwich Sign—Mesenteric Lymphoma
    • Burkitt and AIDS-related lymphoma
    • Nodular lymphoid hyperplasia
    • Two routes of small bowel metastasis
    • Metastases
    • Metastasis to Jejunum
    • Kaposi sarcoma
    • Gastrointestinal stromal tumors
    • Malignant GI Stromal Tumor of the Ileum
    • Adenoma and lipoma
    • Small Bowel Lipoma
    • Hemangioma
    • Multiple polyps: the differential
    • Peutz-Jeghers syndrome
    • Other polyposis syndromes
    • Ascariasis
    • Ascaris Infestation

    31 slides

  5. 05

    Mesenteric Masses

    Tumors and other masses in the mesentery

    • Mesenteric masses at a glance
    • Mesenteric lymph nodes
    • Lymphoma and metastases in the mesentery
    • Mesenteric desmoid
    • Mesenteric Desmoid
    • Mesenteric GISTs and cysts
    • Mesenteric Cyst
    • Mesenteric teratoma and panniculitis
    • Mesenteric Panniculitis
    • Misty mesentery

    10 slides

  6. 06

    Diffuse Small Bowel Disease

    Patterns of dilation, fold thickening, and nodules

    • Five rules for diffuse disease
    • Dilated small bowel lumen
    • Causes of dilated small bowel
    • Causes of dilated small bowel (continued)
    • Dilated Small Bowel, Normal Folds
    • Thickened folds: straight and regular
    • Thickened small bowel folds: straight and regular
    • Thickened Folds—Regular and Straight
    • Thickened folds: irregular and distorted
    • Thickened small bowel folds: irregular and distorted
    • Thickened Folds—Irregular
    • Scleroderma
    • Scleroderma
    • Adult celiac disease
    • Adult Celiac Disease
    • Complications of celiac disease
    • Tropical sprue and lactase deficiency
    • Intestinal ischemia
    • Intestinal Ischemia
    • Ischemia on CT
    • Radiation enteritis
    • Radiation Enteritis
    • Lymphangiectasia
    • Eosinophilic gastroenteritis
    • Amyloidosis
    • Systemic mastocytosis
    • Whipple disease
    • Tiny small bowel nodules
    • AIDS enteritis

    29 slides

  7. 07

    Erosions and Ulcerations

    Crohn disease and its mimics

    • Crohn disease
    • Crohn disease imaging hallmarks
    • Crohn Disease: Cobblestone Pattern
    • Crohn disease activity on CT and MR
    • Crohn Disease—Terminal Ileitis
    • Crohn Disease—Terminal Ileitis—MR
    • Crohn disease complications
    • Crohn Disease
    • More Crohn disease complications
    • Yersinia and Campylobacter
    • Behçet disease
    • Tuberculosis

    12 slides

  8. 08

    Diverticula

    Outpouchings and their complications

    • Small bowel diverticula
    • Small Bowel Diverticula
    • Meckel diverticulum
    • Meckel Diverticulitis
    • Pseudodiverticula (sacculations)
    • Key takeaways
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    9 slides