Linitis plastica x-ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

An x-ray with barium meal may be helpful in the diagnosis of linitis plastica. Findings on an x-ray suggestive of linitis plastica include a flask shaped stomach with a narrow lumen, loss of normal mucosal folds and a lack of distensibility. Barium study may be superior to endoscopy in diagnosis.

X Ray

  • An x-ray with barium meal may be helpful in the diagnosis of linitis plastica. Findings on an x-ray suggestive of linitis plastica include:[1][2]
    • Leather-flask shaped stomach
    • Narrow lumen
    • Loss of mucosal folds
      • The mucosa may be absent, distorted in some way i.e. thickened or nodular
    • Lack of distensibility
Indistensible and narrow lumen of the stomach is shown representing linitis plastica.Case courtesy of Dr Chris O'Donnell, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/18189">rID: 18189</a>

References

  1. Dooley CP, Larson AW, Stace NH, Renner IG, Valenzuela JE, Eliasoph J, Colletti PM, Halls JM, Weiner JM (1984). "Double-contrast barium meal and upper gastrointestinal endoscopy. A comparative study". Ann. Intern. Med. 101 (4): 538–45. PMID 6383166.
  2. Longo WE, Zucker KA, Zdon MJ, Modlin IM (1989). "Detection of early gastric cancer in an aggressive endoscopy unit". Am Surg. 55 (2): 100–4. PMID 2916797.



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