11 Thickening of Gastric Folds

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

• Fig GI 11-1 Alcoholic gastritis with bizarre, large folds simulating a malignant process.

• Fig GI 11-2 Hypertrophic gastritis in a patient with high acid output and peptic ulcer disease.

• Fig GI 11-3 Antral gastritis. Thickening of gastric rugal folds is confined to the antrum.

• Fig GI 11-4 Zollinger-Ellison syndrome. Diffuse thickening of gastric folds is associated with hypersecretion of acid and peptic ulcer disease.

• Fig GI 11-5 Ménétrier's disease. (A) Fold thickening involves the greater curvature of the fundus and body and spares the lesser curvature and antrum. (B) Generalized rugal fold thickening involves the entire stomach.

• Fig GI 11-6 Lymphoma. Diffuse thickening, distortion, and nodularity of gastric folds.

• Fig GI 11-7 Carcinoma of the stomach. Enlarged, tortuous, coarse rugal folds simulate lymphoma.

• Fig GI 11-8 Fundal gastric varices. (A) Multiple smooth, lobulated filling defects representing the dilated venous structures. (B) Single large gastric varix (arrows).

• Fig GI 11-9 Nonfundal gastric varices.23

• Fig GI 11-10 Amyloidosis. Huge, nodular folds caused by diffuse infiltration of the stomach by amyloid.

• Fig GI 11-11 Acute pancreatitis. Prominence of mucosal folds on the posterior wall of the stomach (arrows) and a large retrogastric mass.