Necrotizing Soft Tissue Infections

Sep 23, 2017 by in Uncategorized Comments Off on Necrotizing Soft Tissue Infections

Fig. 14.1 CT scan showing extensive gas gangrene of the left flank and entire chest wall. © Dale Dangleben, MD Fig. 14.2 a, b Extensive debridement of necrotizing infection with loss of…

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Enterocutaneous Fistula

Sep 23, 2017 by in Uncategorized Comments Off on Enterocutaneous Fistula

Fig. 6.1 CT scan with extravasation of oral contrast out the anterior abdominal wall consistent with an enteroatmospheric fistula. © Dale Dangleben, MD In cases where a fistula may be small…

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Pneumoperitoneum

Sep 23, 2017 by in Uncategorized Comments Off on Pneumoperitoneum

Fig. 18.1 “Free Air” is seen here under the right diaphragm. © Dale Dangleben, MD When plain radiographs are non-diagnostic and the patient is stable and able to undergo additional imaging…

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Incarcerated Groin Hernias

Sep 23, 2017 by in Uncategorized Comments Off on Incarcerated Groin Hernias

Fig. 11.1 CT scan showing a left groin hernia. © Dale Dangleben, MD Complications Delayed diagnosis and treatment of a painful, tender, inflamed hernia can lead to bowel ischemia and perforation…

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Small Bowel Diverticulitis

Sep 23, 2017 by in Uncategorized Comments Off on Small Bowel Diverticulitis

Fig. 20.1 Small bowel seen here with large jejunal diverticulum which tends to perforate into the mesentery. © Dale Dangleben, MD A Meckel’s diverticulum is the most common true congenital malformation…

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Acute Pancreatitis

Sep 23, 2017 by in Uncategorized Comments Off on Acute Pancreatitis

© Springer International Publishing AG 2017Dale A. Dangleben and Firas G. Madbak (eds.)Acute Care General Surgery 10.1007/978-3-319-52255-5_24 24. Acute Pancreatitis Syrell J. Rodriguez Carreras1   and Christie Hirsch-Reilly2   (1) Department of Surgery, York Hospital, York, Pennsylvania, USA (2) Department…

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Portal Venous Gas

Sep 23, 2017 by in Uncategorized Comments Off on Portal Venous Gas

Fig. 19.1 CT scan illustrating portal venous gas. © Dale Dangleben, MD References 1. Abboud B. Hepatic portal venous gas: physiopathology, etiology, prognosis and treatment. World J Gastroenterol WJG. 2009;15(29):3585.CrossRefPubMed

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Pneumobilia

Sep 23, 2017 by in Uncategorized Comments Off on Pneumobilia

Fig. 17.1 Plain abdominal film showing the outline of the biliary tree with air (Pneumobilia). © Dale Dangleben, MD Complications The most important complication that should be considered is the higher…

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Acute Anorectal Emergencies

Sep 23, 2017 by in Uncategorized Comments Off on Acute Anorectal Emergencies

Fig. 10.1 Perianal abscess. © Dale Dangleben, MD Hemorrhoids Hemorrhoids can be diagnosed by a thorough history and physical examination. The examination should include inspection while straining. In all patients who…

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Pancreatic Pseudocysts

Sep 23, 2017 by in Uncategorized Comments Off on Pancreatic Pseudocysts

Fig. 15.1 Large pancreatic pseudocyst. © Dale Dangleben, MD Endoscopic ultrasound (EUS) has emerged as an important adjunct, as it is useful in aspirating a sample of fluid from the pseudocyst…

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