Image Based Question – 66279

Diagnose the condition based on the sign marked by an arrow in the photograph below ?

A. Stomach carcinoma.

B. Ileocaecal TB.

C. Ulcerative colitis.

D. Hypertrophic pyloric stenosis.

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Correct Answer » D Explanation

The gastrointestinal string sign (string sign of Kantour) refers to the string-like appearance of a contrast-filled bowel loop caused by severe narrowing of a bowel loop.

Originally used to describe the reversible narrowing caused by spasms in Crohn disease, it is now used for any severe narrowing of the bowel lumen, including that seen in hypertrophic pyloric stenosis, gastrointestinal tuberculosis, carcinoid tumorand colon cancer.