Scleroderma small bowel involvement
Long standing abdominal bloating and malabsorption.
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Barium follow-through of the small bowel demonstrates generalised bowel dilatation with closely approximated valvulae conniventes which are of normal thickness despite dilatation of the bowel lumen.
No strictures / stenoses or masses are visible and the mucosa is otherwise normal.
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This patient had known long standing scleroderma and demonstrates characteristic small bowel follow-though appearances.