Duodenal XXXX : radiological features on barium studies and their clinical correlation in 28 cases.

@entity1 @entity1066 @entity378 @entity1109
BACKGROUND: A retrospective analysis of 28 cases of duodenal @entity378 ( @entity378 ) was done to evaluate radiological findings and their value in the diagnosis of the disease. SUBJECTS AND METHODS: Upper gastrointestinal and small bowel series of 28 @entity1 with duodenal @entity378 were analysed for radiological findings. The diagnosis of duodenal @entity378 was confirmed by surgery and biopsy in 18, on the basis of radiological findings and response to treatment in 9, and on the basis of findings on upper gastrointestinal scopy and biopsy in 1 @entity1 . RESULTS: The study included 28 @entity1 (14 males, 14 females). The mean age was 32.1 (range 5-65). Twenty-three (82.2%) @entity1 presented with obstructive symptoms while five manifested with @entity1109 . Of the latter, 4 had @entity1066 in the third and fourth parts of the duodenum. In the remaining @entity1 , the mucosa of the duodenum could not be clearly visualised. Two @entity1 had extrinsic impression at the D2-D3 and D3-D4 segments. In 23 @entity1 with obstructive symptoms, 18 demonstrated luminal narrowing of varying degrees and 5 had a sharp band-like cut-off at the third part of the duodenum. Of the 18 @entity1 with luminal narrowing, 13 had extrinsic compression, 12 had proximal dilatation and 14 had @entity1066 mainly in the second and third parts of the duodenum. Biliary involvement was seen in 3 @entity1 without any signs or symptoms directly referable to the biliary involvement. CONCLUSION: Though duodenal @entity378 lacks specific radiological features, barium studies help to localise and define the area of narrowing and @entity1066 and help to confirm the presence of lymph nodes causing compression of the duodenum.
