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MR Imaging of the Small Bowel Using Polyethylene Glycol Solution as an Oral Contrast Agent in Adults and Children with Celiac Disease: Preliminary Observations

Andrea Laghi1, Pasquale Paolantonio1, Carlo Catalano1, Lucia Dito2, Iacopo Carbone1, Maria Barbato2, Ernesto Tomei1 and Roberto Passariello1

1 Department of Radiology, University of Rome "La Sapienza," Policlinico Umberto I, Viale Regina Elena 324, 00161 Rome, Italy.
2 Department of Pediatrics, University of Rome "La Sapienza," 00161 Rome, Italy.



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Fig. 1. 7-year-old-boy with celiac disease. Coronal T2-weighted MR image obtained using HASTE sequence shows dilatation of bowel loops, a sign of bowel atonia.

 


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Fig. 2A. 34-year-old women with celiac disease. Images were obtained using HASTE sequences. Axial T2-weighted MR image shows increased number of folds (arrowheads) in distal ileum (ileal jejunization).

 


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Fig. 2B. 34-year-old women with celiac disease. Images were obtained using HASTE sequences. Coronal T2-weighted MR image shows reversal of jejunoileal pattern.

 


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Fig. 3A. 28-year-old woman with celiac disease. Images were obtained using HASTE sequences. Axial T2-weighted MR image shows small-bowel intussusception (arrow) with typical pattern of target sign.

 


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Fig. 3B. 28-year-old woman with celiac disease. Images were obtained using HASTE sequences. Coronal T2-weighted MR image reveals intussuscepted small-bowel loop (arrow) on long axis, presenting as soft-tissue-density oval lesion.

 


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Fig. 4. 24-year-old woman with celiac disease. Axial T2-weighted MR image obtained using HASTE sequence shows marked reduction in splenic size (hyposplenism) (solid arrow). Additional finding of multiple hemorrhagic left renal cysts (open arrow) can be seen.

 

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