CASE 194

History: A 38-year-old woman presents with diarrhea and abdominal bloating.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Scleroderma

B. Paralytic ileus

C. Jejunal diverticulosis

D. Small bowel obstruction

E. Short small bowel syndrome

2. In scleroderma, what intestinal organ is most commonly involved?

A. Colon

B. Stomach

C. Esophagus

D. Small bowel

3. What are the underlying pathologic changes seen in the bowel as a result of scleroderma?

A. Small vessel vasculitis and fibrosis

B. Bacterial overgrowth

C. Villous atrophy

D. Dysmotility

4

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