CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 9Narrowing of the Stomach

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig GI 9-1 Scirrhous carcinoma of the stomach
producing a linitis plastica pattern.

4. • Fig GI 9-2 Adenocarcinoma of the stomach
causing segmental constriction of the antrum.

5. • Fig GI 9-3 Metastatic pancreatic carcinoma.
Circumferential narrowing of the distal
stomach (arrow) secondary to enlarged
perigastric lymph nodes.

6. • Fig GI 9-4 Peptic ulcer disease causing antral
narrowing and rigidity (arrow). Note the
metallic clips from a previous vagotomy.

7. • Fig GI 9-5 Crohn's disease of the stomach
(ram's horn sign).19

8. • Fig GI 9-6 Tuberculosis of the stomach.
Fibrotic healing narrows and stiffens the distal
antrum.

9. • Fig GI 9-7 Phlegmonous gastritis. Irregular narrowing of the
antrum and distal body of the stomach with effacement of
mucosal folds along the lesser curvature and marked
thickening of folds along the greater curvature.20

10. • Fig GI 9-8 Corrosive stricture of the antrum
after the ingestion of hydrochloric acid.

11. • Fig GI 9-9 Radiation therapy. Luminal
narrowing and severe thickening of the wall of
the stomach (arrow).

12. • Fig GI 9-10 Echinococcal cystic disease.
Narrowing of the lumen of the stomach
secondary to extrinsic impression by a huge
liver.