What sign is depicted on this image?
- 45 year-old with abdominal pain
Contrast-enhanced axial CT of lower abdomen
1. Small bowel feces sign
2. Misty mesentery sign
3. Accordion sign
4. Duplicated ureter sign
5. Target sign
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Answer:
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5. Target Sign
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Target Sign
General Considerations
- Three concentric circles formed by the layers of the bowel wall in inflammatory disease of the bowel and seen on contrast-enhanced CT
- The inner and outer rings of high attenuation are presumed to represent hyperemia of the mucosa and muscularis propia and/or serosa, respectively
- The middle low attenuation ruing is presumed to represent submucosal edema which produces thickening of the bowel wall
- Best seen during late arterial, early venous phase
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