True regarding Barium study of ileocaecal tuberculosis: (A) String sign, (B) Goose neck sign, (C) Rt sided obstruction, (D) Pulled up caecum
Answer is A. .Barium study X-ray (Enteroclysis followed by barium enema or barium meal follow through X-ray) in ileocaecal tuberculosis reveals, * Pulled up caecum * Obtuse ileocaecal angle * Hurrying of barium due to rapid flow and lack of barium in inflamed segment (Steirlin sign) * Narrow ileum with thickened ileocaecal valve (Fleischner sign) (Inveed umbrella sign) * Calcifications * Other signs are - persistent narrow stream (string sign); multiple strictures with enormous dilatation of proximal ileum (mega ileum); straightening of ileo caecal junction with 'goose neck' deformity. ref:SRB&;s manual of surgery,ed 3,pg no 514