Fig. 18
From: Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT
A 24-year-old man with Crohn’s disease who presented with reflux esophagitis, daily vomiting, and food intolerance. a Upper endoscopy shows pyloric and bulbar involvement with ulcerated areas and folded hypertrophy that caused stenosis. After the dilation of the stenosis b the patient presented acute abdominal pain. Axial c and reformatted sagittal d contrast-enhanced CT images confirm the suspected perforation (short arrows) and also show the thickened and hyperaemic wall of the duodenum (arrows) with fibrotic bulbar stenosis