Thread by @MoreXGrok

Long standing abdominal bloating and malabsorption

Diagnosis? Sign?

Scleroderma - small bowel involvement

This patient had known long standing scleroderma and demonstrates characteristic small bowel follow-though appearances.

Hide-bound sign

👉 is seen on barium studies of the small bowel in patients with scleroderma.

👉 sign describes a narrow separation between valvulae conniventes of normal thickness despite dilatation of the bowel lumen

Hide-bound sign

Although the term hide-bound is used specifically to describe scleroderma, the same appearance may also be seen in sprue.

The term hide-bound sign was coined by Alfred Horowitz and Morton Meyers in a study published in 1973, although according to their article the appearance had been described prior to that

The term hide-bound was originally used to describe emaciated cattle.

Reference:

link.springer.com/article/10.100…
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radiopaedia.org/cases/9597/stu…
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Radiology classroom
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Radiopedia

by Evyn Arnfield