Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
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1,093 results found
Article
Shwachman-Diamond syndrome
The Shwachman-Diamond syndrome (SDS) or Shwachman-Bodian-Diamond syndrome (SBDS) is a rare autosomal recessive disorder characterized by 1 :
exocrine pancreatic insufficiency
metaphyseal chondroplasia
bone marrow hypoplasia (cyclic neutropenia)
Clinical presentation
Patients with Shwachman-...
Article
Siewert-Stein classification of esophageal adenocarcinoma
The Siewert-Stein classification of esophageal adenocarcinoma classes these tumors according to their relationship to anatomical landmarks 1. It was initially proposed by Siewert et al in 1996, becoming widely used in predicting lymph node spread and directing optimal management. As of the 7th e...
Article
Sigmoid arteries
The sigmoid arteries are branches, between two-to-four, of the inferior mesenteric artery (IMA) and supply the sigmoid colon.
Summary
origin: inferior mesenteric artery
course: after arising from IMA, these branches descend to the left in the sigmoid mesocolon
anastomosis:
superiorly with ...
Article
Sigmoid colon
The sigmoid colon is the continuation of the descending colon.
Gross anatomy
After the distal descending colon has curved medially it enters the pelvis, where it gains a mesentery and is then called the sigmoid colon. It measures approximately 15 cm in length.
It has a "S" (Greek letter sigm...
Article
Sigmoid mesocolon
The sigmoid mesocolon
is a fold of peritoneum that attaches the sigmoid colon to the pelvic
wall and one of the four mesenteries in the abdominal cavity.
It has an "inverted V" line of attachment, the apex of which is
near the division of the left common iliac artery.
The left limb descends...
Article
Sigmoid mesocolon hernia
Intersigmoid hernias, also known as sigmoid mesocolon hernias, occur when small bowel loops protrude into a peritoneal pocket (intersigmoid fossa) formed between two adjacent sigmoid segments and their mesentery.
Epidemiology
Sigmoid mesocolon hernias account for ~5% of all internal hernias 1,...
Article
Sigmoid volvulus
Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon.
Epidemiology
Large bowel volvulus accounts for ~5% of all large bowel obstructions, with ~60% of intestinal volvulus involving the sigmoid colon 6. It is mor...
Article
Sigmoid volvulus versus cecal volvulus
The following points may be helpful to distinguish between sigmoid volvulus and cecal volvulus on plain film.
Sigmoid volvulus
arises in the pelvis (left lower quadrant)
extends towards the right upper quadrant
ahaustral in appearance
sigmoid volvulus causes obstruction of the proximal larg...
Article
Simple pancreatic cyst
Simple pancreatic cysts, also known as true epithelial cysts or retention cysts, are unilocular cysts within the pancreas, lined by a monolayer of epithelium, which lack communication with the pancreatic ducts 1,5. In contradistinction to other solid viscera, simple cysts in the pancreas are a r...
Article
Single contrast barium enema
Single contrast barium enema is a method of imaging the colon with fluoroscopy and is similar in concept to the double contrast barium enema. "Single contrast" refers to imaging with barium or water-soluble contrast only, without addition of air or CO2.
Indications
The single contrast techniqu...
Article
Single contrast upper GI technique
Single contrast upper GI technique is a method of imaging the esophagus, stomach, and duodenum with fluoroscopy. "Single contrast" refers to imaging with barium or water-soluble contrast only, without the addition of effervescent granules.
Indications
The single contrast upper GI study may be ...
Article
Sister Mary Joseph nodule
A Sister Mary Joseph nodule is a metastatic lesion involving the umbilicus. The most common primary source is an intra-abdominal adenocarcinoma.
Epidemiology
Umbilical metastases are uncommon, reportedly present in 1-3% of all intra-abdominal and/or pelvic malignancy 7.
Clinical presentation
...
Article
Sitz marker study
The Sitz marker study is an older technique to estimate colonic transit time.
Indications
In constipation it can help distinguish between slow colonic transit and a defecation disorder.
Procedure
The patient ingests a number of radio-opaque markers (plastic rings containing radio-opaque mat...
Article
Skin changes of mercury poisoning (mnemonic)
A mnemonic for the skin changes associated with mercury poisoning is:
5 Ps
Mnemonic
P: pink
P: puffy
P: painful
P: paraesthesia
P: peeling
Article
Sleeve gastrectomy
Sleeve gastrectomy is a bariatric surgical procedure involving resection of the greater curvature of the fundus and body of the stomach to leave approximately 15% of the original gastric volume (60 to 100 mL), thus creating a restrictive physiology. The postsurgical gastric pouch resembles a ban...
Article
Sleeve gastrectomy complications
Complications related to sleeve gastrectomy are often evaluated by imaging. For details about surgical procedure, please see the sleeve gastrectomy article.
Postoperative complications can be classified aetiologically or chronologically.
Early complications
staple line leakage
clinical pres...
Article
Small bowel
The small bowel (or small intestine) is the section of bowel between the stomach and the colon. It has distinctive mucosal folds, valvulae conniventes, and is made up of three functional units:
duodenum
jejunum
ileum
Radiographic features
Fluoroscopy
See main article: barium studies of sma...
Article
Small bowel atresia
Small bowel atresia corresponds to malformations where there is a narrowing or absence of a portion of the small bowel, which includes:
duodenal atresia
jejunal atresia
ileal atresia
Article
Small bowel carcinoid tumor
Small bowel carcinoid tumors are the most common gastrointestinal carcinoid tumors and most frequently involves the terminal ileum.
Epidemiology
Small bowel carcinoid tumors account for ~40% of gastrointestinal carcinoid tumors 1.
Clinical presentation
Small bowel carcinoids are slow growin...
Article
Small bowel feces sign
The small bowel feces sign can be observed on abdominal CT scans. The sign has been described as a finding specific for small bowel obstruction or another severe small bowel abnormality (e.g. metabolic or infectious disease). While the reported prevalence of the sign in small bowel obstruction i...
Article
Small bowel folds (differential)
Regular, smooth generalised thickening
edema
congestive cardiac failure (CCF)
hypoalbuminemia
lymphatic obstruction
angioneurotic edema
infection
radiation
ischemia
hemorrhage
anticoagulation or bleeding diathesis
vasculitides
IgA vasculitis (Henoch-Schonlein purpura)
Buerger diseas...
Article
Small bowel follow through
Small bowel follow through (SBFT) is a fluoroscopic technique designed to obtain high resolution images of the small bowel. The function of the small bowel can also be evaluated.
Indications
The small bowel follow through can be used for evaluation of small bowel abnormalities, including:
str...
Article
Small bowel imaging
Small bowel imaging aims at assessment of the disorders of small intestine.
Imaging techniques
barium follow through
fluoroscopic enteroclysis
conventional CT
CT enteroclysis
MR enteroclysis
CT enterography
MR enterography
capsule endoscopy
Article
Small bowel ischemia
Small bowel or mesenteric ischemia may be a life-threatening condition, arising from any one of numerous causes of disturbance of the normal blood flow through the small bowel wall.
Pathology
It can be divided into acute and chronic forms, with the main underlying etiologies (each discussed s...
Article
Small bowel lymphoma
Small bowel lymphoma is the most common small bowel malignancy, accounting accounts for ~25% of all primary small bowel malignancies and ~40% of all primary gastrointestinal lymphomas.
Epidemiology
Small bowel lymphoma is most commonly secondary extranodal involvement in widespread systemic ly...
Article
Small bowel mesentery
The small bowel mesentery is a broad fan-shaped fold of peritoneum connecting the loops of jejunum and ileum to the posterior abdominal wall and is one of the four mesenteries in the abdominal cavity.
It is connected to the posterior abdominal wall by its root which measures about 15 cm and ext...
Article
Small bowel mesentery internal hernia
Small bowel mesentery internal hernias are a form internal bowel herniation, involving protrusions of viscera through defects in the peritoneum or bowel mesentery. This type of internal herniation is more often seen in neonates than in adults.
There are two types:
transmesenteric small bowel i...
Article
Small bowel obstruction
Small bowel obstruction (SBO) accounts for 80% of all mechanical intestinal obstruction, the remaining 20% results from large bowel obstruction. It has a mortality rate of ~5%.
Clinical presentation
Classical presentation is cramping abdominal pain and abdominal distension with nausea and vomi...
Article
Small bowel obstruction (summary)
This is a basic article for medical students and other non-radiologists
Small bowel obstruction (SBO) accounts for 80% of all mechanical intestinal obstruction; the remaining 20% result from large bowel obstruction. It has a mortality rate of 5.5%.
Reference article
This is a summary article;...
Article
Soft-tissue sarcoma
Soft-tissue sarcomas are a heterogeneous group of malignant tumors of mesenchymal origin (sarcoma) that originate from the soft tissues rather than bone. They are classified on the basis of tissue seen on histology. The commoner sarcomas in the adult and pediatric population are listed below.
A...
Article
Solid and hollow abdominal viscera
The solid abdominal viscera (singular: viscus) is a collective term for those internal organs of the upper abdomen that are primarily solid in nature, namely the liver, pancreas, spleen, adrenals, and kidneys. It is used in contradistinction to the hollow abdominal viscera, which includes, the s...
Article
Solitary rectal ulcer syndrome
This article is currently under editorial board review for errors
Solitary rectal ulcer syndrome (SRUS) is a chronic, benign disorder characterized by the presence of a benign abnormality of the rectum in persons who have a long history of straining during defecation. it is a misnomer but has g...
Article
Somatostatinoma
Somatostatinomas are a rare type of neuroendocrine tumor. They may represent around 1% of all gastro-entero-pancreatic endocrine neoplasms.
Clinical presentation
Presentation can be variable. Patients with functional stomatostatinomas may present with an "inhibitory syndrome" which is a triad ...
Article
Sonographic features of malignant lymph nodes
Lymphadenopathy is quite common, and it can be very difficult to differentiate malignant lymphadenopathy from reactive nodal enlargement.
Several gray scale and color Doppler features favour malignancy in a lymph node.
Gray scale parameters that favour malignancy
size: larger-more likely mali...
Article
Sphincter of Oddi
The sphincter of Oddi (or sphincter of ampulla) is a complex of four smooth muscle sphincters within the duodenal wall. It surrounds, and helps fix to the duodenum, the duct of Wirsung, common bile duct and the ampulla of Vater 1-2.
When relaxed it allows the passage of bile into the intestine...
Article
Spigelian-cryptorchidism syndrome
Spigelian-cryptorchidism syndrome is the association of Spigelian hernias and cryptorchidism in children.
Pathology
It is reported that ~50% (range 28-75%) range of pediatric patients with Spigelian hernias will have ipsilateral cryptorchidism 1,2.
Along with Spigelian hernia and cryptorchi...
Article
Spigelian hernia
Spigelian hernia, also known as lateral ventral hernia, is a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall.
Epidemiology
They are rare and account for ~1% (range 0.1-2%) of ventral hernias 2,3. The incidence is thought to p...
Article
Spleen
The spleen is an organ of the haematologic system and has a role in immune response, storage of red blood cells and hematopoiesis.
Gross anatomy
The spleen is a wedge-shaped organ lying mainly in the left upper quadrant (left hypochondrium and partly in the epigastrium) and is protected by the...
Article
Spleen size (pediatric)
The spleen size varies with a child's age.
The three numbers below represent the 10th percentile, median, and 90th percentile for the long axis of the spleen (cm)
0-3 months: (3.3, 4.5, 5.8 cm)
3-6 months: (4.9, 5.3, 6.4 cm)
6-12 months: (5.2, 6.2, 6.8 cm)
1-2 years: (5.4, 6.9, 7.5 cm)
2-4...
Article
Splenic amyloidosis
Splenic amyloidosis is rare as an isolated entity. Most often it is associated with either systemic amyloidosis or hepatic amyloidosis.
Epidemiology
In general splenic involvement in amyloidosis is rather frequent (5-10% of cases 6).
Clinical presentation
Symptoms include abdominal mass and ...
Article
Splenic artery
The splenic artery is one of three branches celiac trunk and supplies the spleen as well as large parts of the stomach and pancreas.
Gross anatomy
Origin and course
The splenic artery is one of the terminal branches of the celiac trunk, passing from the celiac axis toward the splenic hilum, t...
Article
Splenic artery aneurysm
Splenic artery aneuryms are the commonest visceral arterial aneurysm formation as well as the 3rd commonest abdominal aneurysm (after the aorta and iliac vessels). Aneurysms are usually saccular in configuration and they can either be in the form of a true aneurysm (much more common) or as a pse...
Article
Splenic artery pseudoaneurysm
Splenic artery pseudoaneurysms are a rare type of pseudoaneurysm arising from any portion of the splenic artery and its branches.
Clinical presentation
Unlike splenic artery true aneurysms, splenic artery pseudoaneurysms will nearly always present with symptoms 2. While there occurrence may b...
Article
Splenic brucellosis
Brucellosis is a common zoonosis, which is particularly prevalent in Mediterranean countries. It produces a multisystemic illness that can present with a broad spectrum of clinical manifestations and complications 1.
This article is focusing on the splenic involvement by brucellosis. For genera...
Article
Splenic calcification
Splenic calcifications can occur is various shapes and forms and can occur from a myriad of aetiological factors.
The usual calcification observed in radiographs are the multiple, miliary form presenting numerous small rounded densities averaging from three to five millimeters in diameter where...
Article
Splenic cyst
Splenic epithelial cysts, also referred as splenic epidermoid cysts or primary splenic cysts, are unilocular fluid lesions with thin and smooth walls and no enhancement. They represent ~20% of cysts found in the spleen, and are usually an innocuous incidental imaging finding.
Note that most (~8...
Article
Splenic hemangioma
Splenic hemangiomas, also known as splenic venous malformations, splenic cavernous malformations, or splenic slow flow venous malformations, while being rare lesions, are considered the second commonest focal lesion involving the spleen after simple splenic cysts 5,12 and the most common primary...
Article
Splenic haemangiomatosis
Splenic haemangiomatosis involves multiple, diffuse splenic hemangiomas replacing its entire parenchyma. It is a very rare entity.
Pathology
It can occur as a manifestation of systemic angiomatosis or, less commonly, confined to the spleen (diffuse isolated splenic haemangiomatosis). There is ...
Article
Splenic infarction
Splenic infarction is a result of ischemia to the spleen, and in many cases requires no treatment. However, identification of the cause of infarction is essential.
Epidemiology
Splenic infarcts can occur due to a number of processes, involving either arterial supply, the spleen itself or the...
Article
Splenic lesions and anomalies
There are a number of splenic lesions and anomalies:
Congenital anomalies
accessory spleen
wandering spleen
asplenia
polysplenia
splenogonadal fusion
retrorenal spleen
Mass lesions
Benign mass lesions
splenic cyst (mnemonic)
splenic pseudocyst
splenic hemangioma: commonest benign spl...
Article
Splenic lymphangioma
Splenic lymphangiomas are relatively rare benign tumors that correspond to abnormal dilatation of lymphatic channels that can be either congenital or acquired.
On imaging, they usually present as lobulated and multiloculated cystic lesions without solid component or significant enhancement.
...
Article
Splenic siderotic nodules
Splenic siderotic nodules, also known as Gamna-Gandy bodies, of the spleen, are most commonly encountered in portal hypertension. The pathophysiological process is the result of microhemorrhage resulting in hemosiderin and calcium deposition followed by fibroblastic reaction.
Pathology
Grossly...
Article
Splenic trauma
Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured internal organ after blunt trauma.
Epidemiology
In blunt trauma, the spleen can account for up to 49% of abdominal organ injuries 2.
Cli...
Article
Splenic vein
The splenic vein drains the spleen, part of the pancreas, and part of the stomach.
Gross anatomy
Origin and course
The splenic vein is formed by splenic tributaries emerging at the splenic hilum in the splenorenal ligament at the tip of the tail of pancreas. It runs in the splenorenal ligame...
Article
Splenomegaly
Splenomegaly is a term which refers to enlargement of the spleen. The normal adult splenic length upper limit is usually around 12-15 cm. It can also be helpful to know how to calculate splenic index, volume and mass by CT and MR techniques. Massive splenomegaly is a term used when the spleen we...
Article
Splenorenal ligament
Splenorenal ligament is a peritoneal ligament. It represents the dorsal most part of dorsal mesentery.
It contains pancratic tail.
In settings of portal hypertension, collateral circulation may establish within the splenorenal ligament.
Article
Splenosis
Splenosis is one type of ectopic splenic tissue (the other being accessory spleen). It is an acquired condition and is defined as autoimplantation one or more focal deposits of splenic tissue in various compartments of the body.
Abdominal splenosis is seen after abdominal trauma or surgery (e.g...
Article
Spontaneous splenic rupture
Spontaneous splenic rupture (SSR) (or atraumatic splenic rupture) is rare, especially when compared to traumatic splenic rupture.
Pathology
The pathogenesis of atraumatic splenic rupture is not well understood. Splenomegaly is present in almost all patients (~95%), although rupture of normal ...
Article
Sprue
Sprue is the collective term for the malabsorptive gastrointestinal enteropathies although it may be used to refer directly to tropical sprue. It is composed of two entities:
tropical sprue
non-tropical sprue / celiac disease
In each, the radiologic features are not sensitive enough to confir...
Article
Stab wound: overview
Stab wounds are a form of penetrating trauma that may be self-inflicted or inflicted by another person either accidentally or intentionally. They may be caused from a variety of objects and may occur anywhere in the body.
Terminology
Although commonly caused by a knife as well, slash injuries ...
Article
Stack of coins sign (bowel)
Stack of coins sign refers to the appearance of small bowel folds that are smoothly and uniformly thickened 1. 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 fro...
Article
Stepladder sign (disambiguation)
Stepladder sign may refer to:
intracapsular breast implant rupture (ultrasound)
gas-fluid levels in obstructed small bowel (erect abdominal radiograph)
Article
Stepladder sign (small bowel obstruction)
Stepladder sign represents the appearance of gas-fluid distended small bowel loops that appear to be stacked on top of each other, typically observed on erect abdominal radiographs in the setting of small bowel obstruction.
Article
Stercoral colitis
Stercoral colitis refers to a condition where the presence of impacted feces in the colonic lumen is associated with inflammation and distention of the affected colon segment.
Epidemiology
It is seen primarily in elderly patients (often bedbound as a consequence of dementia, stroke, or orthope...
Article
Stercoral perforation
Stercoral perforation is defined as a bowel perforation due to pressure necrosis from a fecal mass (faecaloma) 1. It is an uncommon, but life-threatening, complication of unresolved fecal impaction and can be a cause of acute abdomen secondary to fecal peritonitis.
Epidemiology
It may represen...
Article
Stierlin sign (tuberculosis of ileocecal junction)
The Stierlin sign refers to repeated emptying of the cecum, seen radiographically as barium remaining in the terminal part of the ileum and in the transverse colon. This occurs due to irritation of the cecum caused by M. tuberculosis. It is not specific for tuberculosis and can also be seen in C...
Article
Stomach
The stomach is a muscular organ that lies between the esophagus and duodenum in the upper abdomen. It lies on the left side of the abdominal cavity caudal to the diaphragm at level of T10.
Gross anatomy
The stomach ("normal" empty volume 45 mL) is divided into distinct regions:
cardia: the ar...
Article
Stomal ulcer
Stomal ulcers may occur after surgery for peptic ulcer disease, and are more common in settings of a retained gastric antrum or an incomplete vagotomy (occurrences which are not common with modern surgical technique). There is also a higher risk with Zollinger-Ellison syndrome.
Radiographic fea...
Article
Streak ovaries
Streak ovaries are a form of ovarian dysgenesis and are associated with Turner syndrome. Occasionally they may be functional and secondary sexual characteristics may develop.
Pathology
Streak ovaries are seen when there is abnormality or absence of the X chromosome.
Associations
Turner syn...
Article
String of beads sign (renal artery)
The string of beads sign is the description typically given to the appearance of the renal artery in fibromuscular dysplasia (FMD) but may also be used to describe the appearance of splanchnic arteries in segmental arterial mediolysis (SAM). It refers to the appearance arising from the stenoses ...
Article
String of pearls sign (disambiguation)
String of pearls sign can refer to:
string of pearls sign on an abdominal radiograph of fluid-filled dilated small bowel loops
string of pearls sign on ultrasound in polycystic ovarian syndrome
string of pearls sign for angiographic appearances in fibromuscular dysplasia
Article
String of pearls sign (gastrointestinal)
The string of pearls (or beads) sign can be seen on upright or decubitus abdominal radiographs as well as on CT in patients with small bowel obstruction, increased intraluminal fluid, and slow resorption of intraluminal gas.
It consists of an obliquely or horizontally oriented row of small gas ...
Article
String sign (bowel)
The gastrointestinal string sign (also known as the string sign of Kantor) refers to the string-like appearance of a contrast-filled bowel loop caused its severe narrowing.
Originally used to describe the reversible narrowing caused by spasms in Crohn disease, it is now used for any severe narr...
Article
String sign (disambiguation)
The string sign may refer to:
angiographic string sign
gastrointestinal string sign
string sign of parosteal osteosarcoma
Article
Stump appendicitis
Stump appendicitis refers to inflammation of the residual appendiceal tissue post appendectomy.
Pathology
Partial removal of the appendix with a residual stump allows for a chance of recurrent appendicitis. Chances of a partial removal are found to be higher in cases where there is a wrong ide...
Article
Subcapsular splenic hematoma
Subcapsular splenic hematomas are a type of splenic hematoma that occurs beneath the splenic capsule.
Pathology
They can occur in both traumatic and non-traumatic situations.
Associations
abdominal: splenic trauma 3, a subcapsular hematoma is part of imaging criteria for grades I-III of the ...
Article
Subdiaphragmatic free gas
Subdiaphragmatic free gas is one of the ways of detecting presence of free intraperitoneal gas (i.e. pneumoperitoneum). It is the presence of free, extraluminal gas in the anterior subhepatic space.
Radiographic features
Plain radiograph
Subdiaphragmatic free gas is well appreciated as the g...
Article
Sudeck point
The Sudeck point (or Sudeck critical point) refers to a specific location in the arterial supply of the rectosigmoid junction, namely the origin of the last sigmoid arterial branch from the inferior mesenteric artery (IMA) 1.
This arterial branch usually forms an anstomosis with a branch of th...
Article
Superior mesenteric artery
The superior mesenteric artery (SMA) is one of the three non-paired major visceral arteries in the abdominal cavity arising from the abdominal aorta and supplying the midgut.
Gross anatomy
Origin
Single vessel arising anteriorly from the abdominal aorta at the level of L1, usually just below ...
Article
Superior mesenteric artery compression disorders
There are two distinct vascular compression disorders due to compression of another structure by the superior mesenteric artery. The terminology is sometimes confusing and they can occur in association.
superior mesenteric artery syndrome (Wilkie syndrome): compression of the third part of th...
Article
Superior mesenteric artery syndrome
Superior mesenteric artery (SMA) syndrome, also known as Wilkie syndrome, is a rare acquired vascular compression disorder in which acute angulation of superior mesenteric artery (SMA) results in compression of the third part of the duodenum leading to obstruction.
It should not be confused wit...
Article
Superior mesenteric vein
The superior mesenteric vein (SMV) accompanies the superior mesenteric artery (SMA) and drains the midgut to the portal venous system.
Gross anatomy
Origin and course
Mesenteric venous arcades, which accompany the arteries, unite to form the jejunal and ileal veins in the small bowel mesenter...
Article
Superior mesenteric venous thrombosis
Superior mesenteric venous thrombosis can result from number of conditions. It can account for around 5-15% of all mesenteric ischemic events.
It can be classified in various ways:
acute: acute superior mesenteric venous thrombosis
chronic: chronic superior mesenteric venous thrombosis
or as...
Article
Superior pancreaticoduodenal artery
The superior pancreaticoduodenal artery is a branch of gastroduodenal artery that supplies the duodenum and pancreas.
Gross anatomy
Superior pancreaticoduodenal artery arises after branching off from gastroduodenal artery. It divides into anterior and posterior divisions which supply the pylor...
Article
Superior rectal artery
The superior rectal artery is an artery that supplies bloods to the rectum down to the level of the levator ani 2.
Summary
origin: the terminal branch of the inferior mesenteric artery is the superior rectal artery
course: descends into the pelvic cavity in the sigmoid mesocolon, crossing the...
Article
Supramesocolic space
The supramesocolic space is the peritoneal space above the root of the transverse mesocolon. The inframesocolic space lies below the root of the transverse mesocolon.
It can be arbitrarily divided into right and left supramesocolic spaces and subspaces. These are normally in communication with ...
Article
Supravesical fossa
The supravesical fossae are concave depressions of peritoneum in the paravesical space bounded by the median umbilical fold and the medial umbilical folds. It partially overlies the inguinal (Hesselbach’s) triangle. The supravesical fossae are usually occupied by small bowel loops and the urinar...
Article
Surgical hemostatic material
Surgical hemostatic material is used to control bleeding intraoperatively and is hence frequently voluntarily left in the operative bed, not to be confused with a gossypiboma which is caused by foreign material left behind in error. It can mimic an abscess on imaging studies. Various types are a...
Article
Syphilis
Syphilis is the result of infection with the gram negative spirochete Treponema pallidum, subspecies pallidum. It results in a heterogeneous spectrum of disease with many systems that can potentially be involved, which are discussed separately.
Epidemiology
Despite the discovery of penicillin...
Article
Systemic lupus erythematosus
Systemic lupus erythematosus (SLE) is a complex autoimmune disease with multisystem involvement. Although abnormalities in almost every aspect of the immune system have been found, the key defect is thought to result from a loss of self-tolerance to auto-antigens.
Epidemiology
There is a stron...
Article
Taeniae coli
The taeniae coli are the three outer muscular bands of the colon. They sit on top of the inner circumferential layer and result in the classical appearance of the colon: the haustral markings are interrupted unlike the valvulae conniventes within the small bowel.
Article
Tailgut duplication cyst
Tailgut duplication cysts, also known as retrorectal cystic hamartomas, are rare congenital lesions that are thought to arise from vestiges of the embryonic hindgut.
Epidemiology
There is a recognised strong female predilection. While it can present at any age, presentation is usually at arou...
Article
Target sign (intussusception)
The target sign of intestinal intussusception, also known as the doughnut sign or bull's eye sign.
The appearance is generated by concentric alternating echogenic and hypoechogenic bands. The echogenic bands are formed by mucosa and muscularis whereas the submucosa is responsible fo the hypoec...