GI Radiology > Small Bowel > Disease Patterns > Regular Thickened Folds

Disease Patterns

Regular Thickened Folds

Diffuse

 

Edema

  •           Hypoproteinemia (albumin <2.7 g/dL)
  •            Cirrhosis
  •            Nephrotic syndrome
  •            Protein-losing enteropathy (Ménétrier’s, Cronkhite-Canada syndrome, malignancy, IBD)
  •           Congestive heart failure
  •           Constrictive pericarditis
  •           Portal hypertension

 

 

 

Long Segment

 

Intramural hemorrhage

  •           Coagulation defects
  •            Anticoagulant therapy
  •            Coagulopathy (hemophilia, idiopathic thrombocytopenia purpura, cirrhosis, malignancy, disseminated intravascular coagulation)
  •           Ischemia
  •            Arterial occlusion (atherosclerosis, thromboembolism, sickle-cell crisis)
  •            Venous occlusion (thrombosis, compression)
  •            Low flow (low cardiac output, shock)
  •            Vasculitis (connective tissue diseases, amyloidosis, Henoch-Sch�nlein purpura, radiation therapy (>4500 cGy)
  •           Eosinophilic enteritis

Focal / Short Segment

 

Mesenteric venous or lymphatic obstruction

  •            Metastasis
  •            Surgery
  •            Fibrosis
  •            Thrombosis

Early Crohn disease