Small bowel folds (differential)

A.Prof Frank Gaillard et al.

Regular, smooth generalised thickening

This is a long list and dividing patients by age and presentation helps somewhat.


Elderly, acute presentation: Top 3
  1. ischaemia (arterial or venous)
  2. haemorrhage (warfarin)
  3. ?


Elderly, chronic / asymptomatic presentation: Top 3
  1. oedema from CCF, hypoalbuminaemia
  2. lymphatic obstruction
  3. lymphoma/leukaemia


Young, acute presentation: Top 3
  1. infective
  2. inflammatory: e.g. Crohn disease
  3. vasculitis
Young, chronic/asymptomatic presentation: Top 3
  1. lymphoma/Leukaemia
  2. radiation
  3. inflammatory: e.g. Crohn disease

Irregular, nodular generalised thickening

Sand like nodules in mucosa

Share article

Article information

rID: 2058
Section: Gamuts
Synonyms or Alternate Spellings:
  • Small bowel folds DDx

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Normal small bowe...
    Normal small bowel
    Drag here to reorder.
  • Drag
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.