Nodular filling defects in duodenal bulb
Chronic malnutrition. Failure to gain weight.
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Multiple nodular filling defects with size upto 12mm are seen in duodenal bulb. Mild thickening of jejunal folds is also seen.
The differentials for nodular filling defects in the duodenum include Brunner's gland hyperplasia, nodular lymphoid hyperplasia, multiple adenomas of familial adenomatous polyposis, hamartomas in Peutz-Jeghers syndrome, heterotopia, nodular duodenitis, carcinoid tumors, and metastatic disease.
- Patel ND, Levy AD, Mehrotra AK, Sobin LH.Brunner's gland hyperplasia and hamartoma: imaging features with clinicopathologic correlation. AJR Am J Roentgenol. 2006 Sep;187(3):715-22.