Double contrast small bowel enema in a case of selective duodeno-jejunal amyloidosis.
Double contrast small bowel enema in a patient with selective amyloidosis of the duodenum and jejunum revealed an unusual radiologic pattern, mimicking multiple polyposis. Many submucosal polypoid lesions, sessile or pedunculated, were scattered throughout the duodenum and proximal jejunum. The lesions had smooth borders and did not show any retraction at the base. Other typical radiologic patterns of intestinal amyloidosis described in the literature were not observed in the present case. Differential diagnosis from multiple polyposis and diffuse lymphoproliferative neoplastic diseases is discussed.
Department of Radiologia Gastroenterologica, Università Degli Studi, Milano, Italy.
G
G
Cozzi
G
G
Ballardini
R
R
Colombi
M
M
Bellomi
L F
LF
Frigerio
A
A
Severini
D000368:Aged; D000686:Amyloidosis / Q000000981:diagnostic imaging*; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging*; D004379:Duodenal Neoplasms / Q000000981:diagnostic imaging; D004733:Enema; D005260:Female; D006801:Humans; D007417:Intestinal Polyps / Q000000981:diagnostic imaging; D007579:Jejunal Diseases / Q000000981:diagnostic imaging*; D007580:Jejunal Neoplasms / Q000000981:diagnostic imaging; D011859:Radiography
D003287:Contrast Media