Tag: Gastric ulcer Radiological features

Gastric ulcer Radiological features

Gastric ulcer Radiological features

Q. 1

Following are common features of malignant gastric ulcer on Barium meal, EXCEPT:

 A

Location on the greater curvature

 B

Carman’s meniscus sign

 C

Radiating folds which do not reach the edge of the ulcer

 D

Lesser curvature ulcer with a nodular rim

Q. 1

Following are common features of malignant gastric ulcer on Barium meal, EXCEPT:

 A

Location on the greater curvature

 B

Carman’s meniscus sign

 C

Radiating folds which do not reach the edge of the ulcer

 D

Lesser curvature ulcer with a nodular rim

Ans. D

Explanation:

D i.e. Lesser curvature ulcer with nodular ring

Benign Ulcer

Malignant Ulcer

– Young age

– Old age

– Commonly seen on lesser curvatureQ

Commonly seen on greater curvatureQ

Margins of ulcer are not elevated, beaded &

Heaped upQ & Beaded (nodular)Q margins

heaped up

 

– Sharply punched out defectQ with relatively

– Overt neoplastic tissue extending into the surrounding mucosa &

straight walls

wall

Base of ulcer is smooth & cleanQ d/t peptic

– Shaggy & necrotic baseQ

digestion & may show patent or thrombosed

 

blood vessel

 

– Mucosal folds radiate from crater in sponge

Gastric folds are amputated or clubbed & do not reach the edge of the

like mannerQ

ulcer craterQ

Ulcer mound d/t mucosal edema

Carman’s meniscus signQ – the barium which is trapped in ulcer bed

– Ulcer collar – a lucent ring that separates the

gives meniscoid appearance (inner margin is concave towards

ulcer crater from gastric mucosa

lumen)

– Hampton’s line

– Kirkland complex – heaped margins touching bed, cause lucent rim

– Penetrating Sign – i.e. the ulcer crater should

around ulcer on barium meal

project into stomach wall rather than into a

– Intraluminal crater – the crater erodes into the mass within the

mass in stomach wall.

gastric cavity.


Q. 2

‘Carman meniscus sign’ in barium meal is pathognomic of:       

September 2003

 A

Malignant gastric ulcer

 B

Lipoma stomach

 C

Gastric polyposis

 D

Lymphoma

Q. 2

‘Carman meniscus sign’ in barium meal is pathognomic of:       

September 2003

 A

Malignant gastric ulcer

 B

Lipoma stomach

 C

Gastric polyposis

 D

Lymphoma

Ans. A

Explanation:

Ans. A i.e. Malignant gastric ulcer

Quiz In Between



Gastric ulcer Radiological features

Gastric ulcer Radiological features


 RADIOLOGICAL FEATURES OF STOMACH

 Congenital hypertrophic pyloric stenosis (CHPS)

  • It is a common cause of gastric outlet obstruction in infancy.

 Radiological investigations-

  • USG is the investigations of choice.

Other findings-

  1. Cervix sign
  2. Antral nipple sign
  3. Pyloric muscle wall thickness – 4mm
  4. Pyloric length- ≥ 16mm

 2. Upper GI imaging (Barium study)

  • String sign- passing of small barium streak through pyloric canal
  • Double/ triple track sign- crowding of muscle folds in pyloric canal
  • Single bubble sign
  • Catepillar sign- gastric hyperperistallic waves

GASTRIC ULCERS

Radiological signs shown by double contrast upper GIT-

  1. Barium filled crater
  2. Ring shadow
  • The hallmark of benign ulcers is mucosa that is intact to the very edge of an undermining ulcer crater.

Duodenal ulcers-

  • Barium meal X ray – deformed or absence of duodenal cap
  • Appearance of trifoliate duodenum

Exam Important

 Congenital hypertrophic pyloric stenosis (CHPS)

  • It is a common cause of gastric outlet obstruction in infancy.

 Radiological investigations-

  • USG is the investigations of choice.

Other findings-

  1. Cervix sign
  2. Antral nipple sign
  3. Pyloric muscle wall thickness – 4mm
  4. Pyloric length- ≥ 16mm

Radiological signs shown by double contrast upper GIT-

  1. Barium filled crater
  2. Ring shadow
  • The hallmark of benign ulcers is mucosa that is intact to the very edge of an undermining ulcer crater.

Duodenal ulcers-

  • Barium meal X ray – deformed or absence of duodenal cap
  • Appearance of trifoliate duodenum
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