This is a common, secondary reaction to gluten associated with an increased risk of lymphoma and other neoplasms . Diagnosis is made with ...
This is a common, secondary reaction to gluten associated with an increased risk of lymphoma and other neoplasms. Diagnosis is made with duodenal biopsy. Imaging is performed only if there is a concern of malignancy or no response to a gluten-free diet. Patients with long-term coeliac disease may present with an acute ulcerative form of the disease called ulcerative jejuno-ileitis.
BARIUM FOLLOW-THROUGH
• Dilatation of the proximal small bowel.
• Thickening or loss of the jejunal folds—the ileum compensates by increasing its fold number, so-called ‘jejunisation of the ileum’.
• Dilution of the barium column due to hypersecretion of fluid, ‘barium segmentation and flocculation’.
CT
• Multiple mesenteric lymph nodes with central low attenuation or fat fluid levels—‘cavitating mesenteric lymph node syndrome’ (a rare complication of Coeliac disease).
• Splenic atrophy.
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