Ileocecal valve syndrome radiology

The radiological images in this article should be correlated with the article about the “Ileocecal valve syndrome” in the articles section 

As a radiologist, I work daily in diagnosing abdominal pain and bloating cases by computed tomography (CT) and magnetic resonance imaging (MRI). When I started to read about the ileocecal valve syndrome, I searched the radiological literature (e.g., Radiology Journal, Radiographics, European Journal of Radiology …etc.) looking for radiological signs of the ileocecal valve syndrome. I couldn’t find even the name “Ileocecal valve syndrome”. The only use of the word ileocecal valve syndrome in the conventional medical literature is a rare disorder by the name of “Bauhin's ileocecal valve syndrome

http://www.ncbi.nlm.nih.gov/pubmed/16482419

The following is my own, personal observation; I did not find someone in the radiological literature, according to my search, commenting on this finding. If anyone has a better explanation of the finding I will present, with evidence from the radiological literature, please email it to me

According to the definition of the ileocecal valve syndrome, the ileocecal valve is faulty and do not close properly, causing fecal material to leak from the cecum into the ileum, where it is reabsorbed into the blood circulation, intoxicating the person

Many of the CT cases I reported that came with history of vague abdominal pain, constipation, and bloating, show fecal material within the ileocecal valve that extends from the cecum to the ileum. Now someone will say: ok may be this is digested food; this can be an argument if the imaging requirement did not insists that the patients should fast between 6-8 hours, which means that there should be no food in the abdomen at the time of imaging. Also, the CT density of the material within the terminal ileum is the same as the CT density of the material within the cecum and colon, which is of course, fecal material

I have many cases that show the same finding, but below are just two cases with the finding I speak about. The first image shows a person with normal, closed ileocecal valve, and another with an open ileocecal valve and fecal material inside the intestine. The other image shows black fecal material filling part of the terminal ileum

I didn’t see any gastrointestinal radiology book, from my collection at least, which mentions fecal material found in the intestine as “Normal variant”, or “Normal finding”!

Lastly, Crohn’s disease, a famous granulomatous inflammatory bowel disease, is diagnosed radiologically by many signs; one cardinal sign is “Inflammation in the ileocecal valve”, which is identical to the holistic medical literature that mentions inflammation of the ileocecal valve as a sign of “Open ileocecal valve syndrome”!