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Fig. 9 | Insights into Imaging

Fig. 9

From: Monogenic autoinflammatory diseases in children: single center experience with clinical, genetic, and imaging review

Fig. 9

A 5-week-old baby girl with bilious vomiting and abdominal distension. ac Selected images of abdominal ultrasound demonstrate a marked gallbladder wall thickening and (b) small bowel wall thickening and hyperemia and (c) transverse colon wall thickening. There was lack of peristalsis on real time ultrasound and moderate ascites (not shown). There was no pneumatosis intestinalis. d Frontal fluoroscopic view of contrast enema performed at 8 weeks of life due to persistent abdominal distension and bloody diarrhea: the contrast is filling the colon, terminal ileum, and appendix: there is mildly reduced caliber of the colon with multiple areas of wall irregularities of the colon and terminal ileum. Note the massively dilated small bowel loops at the center of the abdomen. This patient is found to have IL-10 deficiency and positive genetic testing (IL10RB)

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