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Fig. 10A —48-year-old man with ulcerative jejunoileitis associated with refractory celiac disease. Axial MDCT enteroclysis scan depicts circumferential thickening (arrows) of ileal wall that exhibits stratification with bilaminar appearance. Hyperenhancing internal layer is present in association with soft-tissue-attenuation external layer. There is no evidence of malignancy. (Reprinted with permission from Boudiaf M, Jaff A, Soyer P, Bouhnik Y, Hamzi L, Rymer R. Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology 2004; 233:338–344 [18])