Barium Swallow & Barium Meal

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Polyposis Syndromes. ® Villous Adenoma of the Colon. ® Lipoma ... Gardner's Syndrome. Gardner's Syndrome. Osteoma in the ... Cronkhite-Canada Syndrome ...
Presented By:

M. Shahnazi, M.D. 1 M. Zare Mehrjardi, M.D. 1, 2 1 Department 2 Section

of Radiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

of Musculoskeletal Imaging, Division of Clinical Research, Climax Radiology Education Foundation, Tehran, Iran

PRESENTS…

© 2013 Climax RC All Rights Reserved

JEJUNUM

JEJUNUM

COLON

ILEUM

ILEUM

Note the Mucosal Pattern

1.

Malabsorption

2.

Inflammatory/Infectious Disorders

3.

Neoplasms

4.

Other Disorders

 Sprue 

Nontropical (Idiopathic)



Tropical

 Scleroderma



Ascariasis



Crohn’s Disease of the Small Bowel



Eosinophilic Gastroenteritis



Giardiasis



Strongyloidiasis



Tuberculosis of the Small Bowel



Typhoid Fever



Whipple’s Disease



Yersinia

 Lymphoma  Carcinoid

of Small Bowel

Tumor

 Carcinoma

of the Small Bowel

 Metastases

to the Small Bowel

 Leiomyosarcoma

of Small Bowel

 Small

Bowel Obstruction

 Gallstone

Ileus

 Adynamic

Ileus

 Duodenal

Atresia

 Annular

Pancreas

 Intestinal

Atresia



Amyloidosis of the Small Bowel



Brunner’s Gland Hyperplasia



Chronic Idiopathic Intestinal Pseudo-obstruction



Small Bowel Diverticula



Hemorrhage into Small Bowel Wall



Intestinal Edema



Intestinal Lymphangiectasia



Intussusception



Intramural Duodenal Hematoma



Lactase Deficiency



Macroglobulinemia (Waldenstorm’s Disease)



Mastocytosis



Meconium Peritonitis



Meconium Ileus



Prolapsed Antral Mucosa



Nodular Lymphoid Hyperplasia



Radiation Enteritis

String of Beads Appearance

Strangulated Obstruction Adhesions and Volvulus

Strangulated Obstruction Volvulus

Strangulated Obstruction Volvulus

Focal Ileus (Sentinel Loop)

Colonic Ileus

Double Bubble Sign

Triple Bubble Sign

Ribbon Like Colon (Ileal Atresia)

Duodenal Diverticulum

Intramural Duodenal Diverticulum

Jejunal Diverticulum

Meckel’s Diverticulum (Right: With Ectopic Gastric Mucosa)

Ileal Diverticulum

Pseudodiverticula (Scleroderma)

Pseudodiverticula (Crohn’s Disease)

Caused by Hypoproteinemia

Jejunojejunal Intussusception Coiled-Spring Appearance

Normal

After Addition of 50gr Lactose to the Barium Mixture

After Reduction

Sand-like Pattern

Normal Prominence of Lymphoid Follicles

1.

Inflammatory/Infectious Colitides

2.

Neoplasms

3.

Other Disorders



Ulcerative Colitis



Crohn’s Colitis



Ischemic Colitis



Amebic Colitis



Lymphogranuloma Venerum



Pseudomembranous Colitis



Cathartic Colon



Caustic Colitis



Radiation Injury of Rectum



Typhlitis

Backwash Ileitis

Distal Rectosigmoid

Pseudopolyp

Benign Stricture

Skip Lesions

Collar-Button Ulcers

Cobblestone Appearance

Crohn’s Colitis

Ulcerative Colitis Target Appearance of Rectum

Serrated Outer Margin Simulating UC

Stricture Following Healing

Deep Penetrating Ulcers

Ameboma (Multiple Apple Core Lesions)

Ameboma

Plain Abdominal X-ray (Wide Transverse Bands of Thickened Colonic Wall)

Shaggy Appearance

Toxic Cecitis

Toxic Cecitis

 Colonic

Polyps

 Polyposis  Villous  Lipoma

Syndromes

Adenoma of the Colon of the Colon

 Carcinoma

of the Colon

 Metastases

to the Colon

Hyperplastic Polyp

Adenomatous Polyp

Adenomatous Polyp (Malignant Transformation)

Hamartomatous Polyp (Solitary Peutz-Jeghers Polyp)

Familial Polyposis

Familial Polyposis (Malignant Transformation)

Gardner’s Syndrome

Gardner’s Syndrome Osteoma in the Frontal Sinus

Peutz-Jegher’s Syndrome

Cronkhite-Canada Syndrome

Turcot Syndrome (Pt died of Malignant Glioma)

Multiple Juvenile Polyps

Lace-like Pattern

Changeable in size & shape with palpation

Apple Core Sign

Saddle Cancer

Scirrhous Cancer

Multiple Synchronous Carcinoma of the Colon

From Gastric Cancer

Intraperitoneal Metastatic Seeding Involving the Colon

Pouch of Douglas

Right Paracolic Gutter

Superior of Sigmoid

From Ovarian Cystadenocarcinoma

Striped Colon Sign



Toxic Megacolon



Diverticulosis



Diverticulitis



Volvulus of the Colon



Aganglionosis of the Colon (Hirschprung’s Dis.)



Colitis Cystica Profunda



Pelvic Lipomatosis

Extraluminal Tracks

Multiple Pericolonic Abscesses

Hypermobile Cecum

Cecal Volvulus

Sigmoid Volvulus (Inverted U Sign)

Sigmoid Volvulus (Bird’s Beak Sign)

Corrugated Appearance of Rectum

Cite as: Shahnazi M, Zare Mehrjardi M. Gastrointestinal imaging- 2: barium study of small bowel and colon. 2013. doi: 10.13140/RG.2.2.13898.77760/1.

E-mail: [email protected] © 2013 Climax RC All Rights Reserved