Chronic granulomatous disease with gastric antral narrowing: a study and follow-up by MRI

• Published in: European radiology Vol. 11; no. 7; pp. 1259 - 1262
• Main Authors: Iannicelli, E, Matrunola, M, Almberger, M, Salvini, V, Roggini, M
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01-01-2001
• Subjects: Bacterial infections; Child; Constriction, Pathologic - diagnosis; Constriction, Pathologic - etiology; Disease; Granulomatous Disease, Chronic - pathology; Humans; Inflammation; Lymphatic system; Magnetic Resonance Imaging; Male; Pyloric Antrum - pathology; Ultrasonic imaging; X-rays; Rome Italy; Italy
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s003300000718

We report the case of a boy with chronic septic granulomatosis (CSG) who presented with a marked gastric antrum narrowing which was evaluated by MRI after oral intake of magnetic contrast particles, and after gadolinium i.v. administration. In particular, a mammillated aspect of the gastric wall in the antral region was seen. Follow-up by MRI clearly showed the gradual resolution of hyperemic wall thickness, after medical management. The antral stenosis resolved after 3 months. Magnetic resonance imaging provides detailed evaluation of gastric wall inflammation in course of CSG.