Git signs
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This document provides a list of over 50 gastrointestinal signs seen on imaging with brief descriptions. Some of the signs included are: - Windsock sign which indicates intraluminal duodenal diverticulum. - Cobblestone sign seen in Crohn's disease which is characterized by a granular mucosa. - String sign seen in Crohn's disease presenting as longitudinal ulcers. - Pearl necklace sign seen with adenomyomatosis of the gallbladder appearing as dilated biliary radicles. - Hourglass or collar sign indicating a diaphragmatic hernia. The document serves as a reference for various imaging findings or "signs" seen in gastrointestinal diseases and
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Git signs
- 1. Collected by Dr. Dalia El Said Ain Shams university GIT SIGNS
- 3. Ram’s horn sign Conical narrowing of antrum = Crohns
- 4. Thumb printing sign - Pseudo-membranous colitis - Ischemic colitis - IBD
- 6. Carmen meniscus sign Malignant ulcer
- 7. Hampton’s line Benign gastric ulcer
- 8. Reversed jeujuno-ileal fold pattern Celiac disease/sprue
- 9. Cobble stone sign Crohns disease
- 12. Bowler hat sign Sessile colonic polyp
- 13. Mexican hat sign Pedunculated polyp
- 14. Bull’s eye lesions o Metastases from melanoma or lymphoma o Kaposi sarcoma
- 16. Pearl necklace sign Adenomyomatosis of GB (arrows)
- 18. Picket fence pattern Acute small bowel Ischemia (submucosal hemorrhage…narrowed loops)
- 19. Stack of coins sign Scleroderma – sprue (Dilated loops)
- 20. Fold thickening Submucosal edema/ hge ….e.g Ischemia Smooth Mucosal infiltration Whipple /diffuse Nodular
- 23. Gardner syndrome
- 24. Turcot syndrome
- 25. Flip-flop appearance Budd Chiari Delayed enhancement of the peripheral liver Arterial phase -- peripheral hypodensity and central enhancement. Delayed phase-- reversal of enhancement pattern.
- 26. Capsular retraction sign (without mass) Confluent hepatic fibrosis Abnormal delayed enhancement at the medial segment of the left hepatic lobe.
- 27. Pancreatic lipomatosis Cystic fibrosis D.M Steroids Cushing $ Shwachman diamond $
- 28. Capsular retraction sign with dilated biliary radicles = Cholangiocarcinoma
- 29. Hot spot sign SVC obstruction
- 31. Cocoon sign Sclerosing encapsulating peritonitis (SEP)
- 32. Punch of grape sign IPMN
- 33. Hourglass or collar sign Diaphragmatic hernia
- 34. Epiploic appendagitis Hyper attenuating ring sign
- 35. Misty mesentery sign Mesenteric panniculitis
- 36. Spider web sign Budd Chiari syndrome
- 37. Left Paraduodenal hernia (gathered loops in mass like fashion).
- 38. Small bowel faeces sign. Open loop obstruction
- 39. Hamburger sign NHL (Lymph nodes encase mesenteric vessels)
- 40. Target sign Liver metastases. Inflammatory lesions of bowel
- 41. WES sign / Wall echo shadow sign Gallstones within a contracted gallbladder.
- 42. Honeycomb sign Hepatic melioidosis abscess
- 43. Foramen of Winslow hernia Anterior to IVC and posterior to the hepatoduodenal ligament (including PV, CBD & HA)
- 44. Right Paraduodenal hernia Through fossa of Waldeyer (located behind SMA (arrowhead)
- 45. Left Paraduodenal hernia Through Fossa of Landzert. Inferior mesenteric vein (arrow head) lies in its anterior wall.
- 51. Champagne glass sign Emphysematous cholecystitis
- 52. Target fat sign Chronic Crohn’s. Chronic UC. Chemotherapy.
- 53. Paediatircs
- 54. Saw tooth appearance (of the denervated segment) Hirschsprung disease
- 55. Rigler / bas-relief sign Pneumoperitoneum Air on both sides of bowel wall
- 56. Cork Screw appearance Midgut volvulus
- 57. Tram track appearance ( due to Pneumatosis intestinalis) Necrotizing enterocolitis
- 59. Telltale sign /Triangle sign Pneumoperitoneum
- 61. Infant with failure to pass meconium
- 62. Thank you