Diseases of the Small Bowel
Small intestinal neoplasms are surprisingly and universally rare. Documented rarity complicated further by non-specific clinical presentation and a small index of clinical suspicion make their detection a challenge for both the physician and the radiologist. A mean symptoms-diagnosis interval up to three years for benign tumors and two years for malignant neoplasm has been reported. Inadequate radiological examination or incorrect interpretation of radiological findings are estimated to account for an average of twelve months delay in diagnosing primary malignancies of the small intestine. Radiological appearances of these neoplasms, however, shown with enteroclysis and computed tomography correlate almost perfectly with the morphological changes recognized in the gross pathology specimens. The ability to accurately image small intestinal neoplasms, independent of their size, anatomic localization and growing tendency, represents a major improvement in their diagnosis and management.
KeywordsCeliac Disease Intestinal Wall Radiological Appearance Ectopic Gastric Mucosa Small Intestinal Neoplasm
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