Friday, March 27, 2009

BARIUM FOLLOW THROUGH


this patient presented with abdomenal pain and diarrhoea
there was a past history of colonoscopy in some other hospital..the diarrhoea started after the invasive procedure...
these follow through images reveal normal stomach somewhat distended
a diverticulum is seen at the duodenojejunal area
most of the small intestinal loops are shifted to the left side
the large gut started to fill with contrast at 1 hr indicating a short transit time .the large gut was filled even before some of the ileal loops so giving a picture of a fistula not visible in the images thought to be connecting the ileal loops to the large goot..? post traumatic fistula(trauma from colonoscopy)






---a diverticulum is seen at the duodenojejunal area
this area was persistently filled with contrast..confirming it to be an outpouching...i.e. a diverticulum
patient was advised further workup.






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