Celiac disease CT scan

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Features present on CT enteroclysis consistent with celiac diagnosis may include: Jejunoileal fold pattern reversal, ileal fold thickening, vascular engorgement, prominent mesenteric lymph nodes may cavitate with a fluid-fat level, submucosal fat deposition in long standing cases, and features suggestive of splenic atrophy.

CT scan

CT enteroclysis

Features present on CT enteroclysis consistent with celiac diagnosis may include:

• Jejunoileal fold pattern reversal
  • Thought to have the highest specificity is considered the most discriminating independent variable for the diagnosis of uncomplicated coeliac disease
• Ileal fold thickening
• Vascular engorgement
• Prominent mesenteric lymph nodes may cavitate with a fluid-fat level
• Submucosal fat deposition in long standing cases
• Other adjunctive features
  • Splenic atrophy