ba follow through study for ileocecal region
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Tutorial for medical students.X-rays are from my work while doing post graduationTRANSCRIPT
Barium follow through studyBarium follow through study
Ileocaecal region _ variety of Ileocaecal region _ variety of lesionslesions
By _ Dr Rekha KhareBy _ Dr Rekha Khare
M.D. RadiologyM.D. Radiology
Ileocaecal region _ NormalIleocaecal region _ Normal
Deformed cecum, dilated Deformed cecum, dilated terminal ileum and obtuse terminal ileum and obtuse
ileocecal angleileocecal angle
Multiple strictures _string signMultiple strictures _string sign
Poor filling of cecum,Poor filling of cecum,dilated terminal ileumdilated terminal ileum
H/O Rt hemicolectomy H/O Rt hemicolectomy Biopsy _ T.B.Biopsy _ T.B.
Bilateral active tuberculosisBilateral active tuberculosiswith ileocaecal T.Bwith ileocaecal T.B
On ATTOn ATTwith ileocaecal T.B. with ileocaecal T.B.
Spastic cecumSpastic cecumTransit time _ 10 hrsTransit time _ 10 hrs
Strictures, contractedStrictures, contractedcecum and distorted anglececum and distorted angle
Ileocecal T.B. Ileocecal T.B. stricture in transverse colon stricture in transverse colon
ascitic fluid cytology_ T.B. natureascitic fluid cytology_ T.B. nature
Transit time 13 hrsTransit time 13 hrsdeformed and mobile cecumdeformed and mobile cecum
Delayed gastric emptying timeDelayed gastric emptying timetransit time 8 hrs.transit time 8 hrs.
Malabsorption pattern ( 45 mts)Malabsorption pattern ( 45 mts)symptoms mimic like T.B.symptoms mimic like T.B.
Ileocecal region not seen after 8 Ileocecal region not seen after 8 hrshrs
stricure 2stricure 2ndnd part of duodenum part of duodenumbiopsy _ T.B.biopsy _ T.B.
Ileocecal region not seen after Ileocecal region not seen after 14 hrs14 hrs
on op. _ stricture at distal end of on op. _ stricture at distal end of jejunumjejunum
Bypass surgery doneBypass surgery done
Round worm infestation Round worm infestation linear filling defectslinear filling defects
Rt Hemicolectomy _ widespread Rt Hemicolectomy _ widespread involvement ? crohn’s diseaseinvolvement ? crohn’s disease
( biopsy not available)( biopsy not available)
Ileocecal T.B. _ before TtIleocecal T.B. _ before Tt
After Tt. After Tt. Pain not relievedPain not relieved
Mobile cecum _ supine Mobile cecum _ supine positionposition
Mobile cecum _ head down Mobile cecum _ head down positionposition
Mobile cecum _ head down Mobile cecum _ head down positionposition
Mobile cecum _ standing Mobile cecum _ standing positionposition
cecopexy donececopexy done
FinallyFinally
Majority ileocaecal T.B.Majority ileocaecal T.B.Few with pulmonary T.B.Few with pulmonary T.B.Mobile cacum might give vague Mobile cacum might give vague
symptoms like T.B.symptoms like T.B.
Thank you very muchThank you very much
have pleasant timehave pleasant time