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Talkback Q & A: What are the causes of stomach wall thickening on ultrasound?

If a patient has thickening of stomach wall on ultrasound of the abdomen, what could be differential diagnoses? 

HG, New Delhi, 10 Jan 2004
 

Before one can make any differential diagnoses with regards thickening of the stomach wall, one has to be sure the thickening is significant and not due to technique of the ultrasound – that is scanning in an oblique plane, and therefore causing the wall to appear thicker than it truly is.

Therefore, the person scanning is the best able to make that report and form their conclusions.

There are several causes for thickening of the stomach (eg lymphoma, linitis plastica) and without any other information, it is not possible to come to a probable conclusion.

If you or a friend or relative of yours has been reported to have stomach wall thickening on ultrasound, it is best you discuss the implications of these findings with your radiologist and your clinician.

 

Talkback Q & A: Uterine Artery Embolisation for uterine fibroids


I am exploring options treatment for my fibroids (size: 20 week pregnancy). Just read that the UAE (Uterine Artery Embolisation) is available in Subang and Sunway.

In my case, is the treatment suitable for me? What are the risk and benefits compared to conventional surgery? My doctor has suggested myomectomy.


DL 20 May 2003
[originally posted at http://forum.radiologymalaysia.org]

 

Before one can decide whether you are suitable for UAE, it would be good idea to have an MRI (magnetic resonance imaging) of your pelvis to be sure that you are suffering from fibroids. We need to exclude adenomyosis, ovarian tumours, etc. Once that is done we have to be sure that you do not have any problems which would exclude you from having this procedure done.

As regards the size of the fibroids, there is still some controversy if a uterus which is about 20 weeks should be embolized. Some do while others do not. I personally would. All the additional information you want about complications, etc, please click here.

Prof BJJ Abdullah,
Radiology Department,
University Malaya Medical Centre

 


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Last Updated:
Tuesday, 04 January 2005