Small Bowel Obstruction

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

Fig. 21.1 Classic X-ray finding of SBO-dilated small bowel with air–fluid level within the bowel. © Dale Dangleben, MD Fig. 21.2 CT scan with extensive small bowel dilatation and fluid filled consistently…

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Toxic Megacolon

Sep 23, 2017 by in Uncategorized Comments Off on Toxic Megacolon

Fig. 23.1 A patient with fulminant C. difficile colitis developed toxic megacolon with marked thickening of the colonic wall. © Dale Dangleben, MD Complications Toxic megacolon is a serious disease. Complications…

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Paraesophageal Hernia

Sep 23, 2017 by in Uncategorized Comments Off on Paraesophageal Hernia

Fig. 16.1 This CT scan illustrates a gastric volvulus of a paraesophageal hernia. The “swirl” is seen within the stomach in the chest. © Dale Dangleben, MD Fig. 16.2 Large paraesophageal hernia…

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Small Bowel Perforation

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

Category Specific causes Trauma Penetrating Blunt Infection Cytomegalovirus Salmonella Tuberculosis Ascaris lumbricoides Entameba histolytica Obstruction Adhesions Hernia Neoplasm Closed-loop obstruction Medication related NSAIDs Potassium chloride Steroids Chemotherapy Immune modulators (bevacizumab)…

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Peptic Ulcer Disease

Sep 23, 2017 by in Uncategorized Comments Off on Peptic Ulcer Disease

Fig. 25.1 Active bleeding from the base of an ulcer. © Dale Dangleben, MD Fig. 25.2 Blood clot overlying an ulcer. © Dale Dangleben, MD For bleeding duodenal ulcers, longitudinal duodenotomy should…

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Lower Gastrointestinal Bleeding

Sep 23, 2017 by in Uncategorized Comments Off on Lower Gastrointestinal Bleeding

Fig. 9.1 Small bowel AVM seen on mesenteric angiography. © Dale Dangleben, MD Fig. 9.2 a, b Endoscopic view of AV malformation. © Dale Dangleben, MD Fig. 9.3 a, b Colon adenocarcinoma. ©…

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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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