Stack of coins sign (bowel)
Updates to Article Attributes
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was changed:
The stack of coins sign refers to the appearance of small bowel folds that are smoothly and uniformly thickened1. The margins between the foldfolds are sharply delineated and the arrangement of clearly demarcated parallel folds is likened to a stack of coins or a picket fence. This sign is distinct from the hidebound-bowel sign in which the bowel folds are not thickened and is a feature of systemic sclerosis and sprue.
Pathology
The smooth regular fold thickening is caused by intramural bleeding. Bleeding into the mesentery may cause loop displacement and separation.
Cause of bleeding leading to this pattern include:
- anti-coagulant therapy
- ischaemia
- vasculitides
- Henoch-Schonlein purpura
- haemophilia
- coagulopathies secondary to other haematological disorders
-<p>The stack of coins sign refers to the appearance of small bowel folds that are smoothly and uniformly thickened<sup>1</sup>. The margins between the fold are sharply delineated and the arrangement of clearly demarcated parallel folds is likened to a stack of coins or a picket fence. This sign is distinct from the <a href="/articles/hide-bound-sign-bowel">hidebound-bowel sign</a> in which the bowel folds are not thickened and is a feature of <a href="/articles/scleroderma">systemic sclerosis</a> and <a href="/articles/sprue">sprue</a>.</p><h4>Pathology</h4><p>The smooth regular fold thickening is caused by intramural bleeding. Bleeding into the mesentery may cause loop displacement and separation. </p><p>Cause of bleeding leading to this pattern include:</p><ul>- +<p>The stack of coins sign refers to the appearance of small bowel folds that are smoothly and uniformly thickened<sup>1</sup>. The margins between the folds are sharply delineated and the arrangement of clearly demarcated parallel folds is likened to a stack of coins or a picket fence. This sign is distinct from the <a href="/articles/hide-bound-sign-bowel">hidebound-bowel sign</a> in which the bowel folds are not thickened and is a feature of <a href="/articles/scleroderma">systemic sclerosis</a> and <a href="/articles/sprue">sprue</a>.</p><h4>Pathology</h4><p>The smooth regular fold thickening is caused by intramural bleeding. Bleeding into the mesentery may cause loop displacement and separation. </p><p>Cause of bleeding leading to this pattern include:</p><ul>
References changed:
- 1. Eisenberg R. Thickening of Small Bowel Folds. AJR Am J Roentgenol. 2009;193(1):W1-W6. <a href="https://doi.org/10.2214/ajr.09.2762">doi:10.2214/ajr.09.2762</a>
Sections changed:
- Signs
Systems changed:
- Gastrointestinal
Images Changes:
Image 1 Photo ( create )
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