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Radiology General 6ea478d4

All of the following features are diagnostic features in barium follow through of ileo coecal tuberculosis, EXCEPT:

A
Apple core appearance
B
Pulled up or contracted cecum
C
Widening of ileocecal angle
D
Stricture involving terminal ileum
High-Yield Explanation
Apple core appearence is seen in carcinoma of colon. Terminal ileum and cecum are the most common sites of intestinal tuberculosis. Barium follow through findings in ileocecal TB includes: Initially there is intense ileocecal spasm (Stierlin's sign) Later the lumen and size of the cecum are compromised as granulomas form into a mass and undergo fibrosis. Mesocolon of the cecum contracs and cecum is pulled out of the right iliac fossa and shrinks resulting in classical, conical, pyramidal or pear shaped configuration.

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