Celiac disease CT scan

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2], Syed Hassan A. Kazmi BSc, MD [3]

Features present on CT enteroclysis consistent with the diagnosis of celiac disease may include, jejunoileal fold pattern reversal, ileal fold thickening, vascular engorgement, prominent mesenteric lymph nodes may cavitate with a fluid-fat level, submucosal fat deposition may be observed in long standing cases, and features suggestive of splenic atrophy may be present.

Features present on CT enteroclysis consistent with celiac disease may include:^[1]

• Jejunoileal fold pattern reversal (has the highest specificity and is considered the most discriminating independent variable for the diagnosis of uncomplicated celiac disease.
• Ileal fold thickening
• Vascular engorgement
• Prominent mesenteric lymph nodes may cavitate with a fluid-fat level
• Submucosal fat deposition in long standing cases
• Splenic atrophy

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