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RadioGraphics, Vol 9, 1045-1066, Copyright © 1989 by Radiological Society of North America

REVIEWS

Adult celiac disease and its complications

SE Rubesin, H Herlinger, SH Saul, K Grumbach, I Laufer and MS Levine
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.

Classic radiographic findings described in adult celiac disease--lumen dilatation, flocculation of barium, hypersecretion, thickening of folds- -are nonspecific or are secretion related artifacts. The small bowel enema technique and CT make it possible to demonstrate specific diagnostic features of the disease and its complications. This substantially modified approach to the diagnosis of adult celiac disease is presented together with correlative pathology. Examples of the complications of celiac disease--ulcerative jejunoileitis, lymphoma, hyposplenism, carcinoma, and the cavitary lymph node syndrome- -are illustrated.


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