Fig. 14

A 65-year-old female patient, 6 months after pelvic radiotherapy for endometrial cancer with clinical signs of bowel obstruction; tumour disease recurrence was suspected. MR enteroclysis (a) axial fat-saturated true-FISP image demonstrates multiple irregular strictures (white arrows) of the distal small bowel with slight bowel wall thickening, prestenotic small bowel dilatation (open arrow) and no mass. (b) Axial HASTE image acquired at the same level after 20 min demonstrates an identical configuration of the fixed small bowel loops as there is no motility in these loops. The diagnosis of radiation enteritis was made based on the medical history and findings at MR enteroclysis.