Articles

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More than 200 results
Article

Pyloric stenosis

Hypertrophic pyloric stenosis (HPS) refers to the idiopathic thickening of gastric py­loric musculature which then results in progressive gastric outlet obstruction. Epidemiology Pyloric stenosis is relatively common, with an incidence of approximately 2-5 per 1000 births, and a male predilect...
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Graft versus host disease

Graft versus host disease (GvHD) is a frequent complication of allogeneic haematopoietic stem cell transplantation, commonly known as bone marrow transplantation. Antirejection drugs have reduced the incidence, although it does still frequently occur.  Pathology Graft versus host disease can p...
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Chylous ascites

Chylous ascites (also known as chyloperitoneum) is defined as the abnormal intraperitoneal accumulation of milky lymphatic fluid with a triglyceride level >110 mg/dL 1. Aetiologically it is due to a disruption of the lymphatic system, most commonly obstructive due to a mass or traumatic (which m...
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Pancreatic calcifications

Pancreatic calcifications can arise from many aetiologies. Punctate intraductal calcifications chronic pancreatitis alcoholic pancreatitis (20-40%) 2  intraductal, numerous, small, irregular preponderant cause of diffuse pancreatic intraductal calcification gallstone pancreatitis (2%) 2 ​...
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Mesenteric cyst

Mesenteric cysts are a very rare cause of abdominal pain and have a wide range of underlying causes.  Terminology The term "mesenteric cyst" is considered a descriptive of the location and gross appearance of "any cyst" arising in the mesentery 8. Epidemiology Mesenteric cysts are rare, with...
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Ectopic pancreatic tissue

Ectopic pancreatic tissue, also known as heterotopic pancreatic tissue, refers to the presence of pancreatic tissue in the submucosal, muscularis or subserosal layers of the luminal gastrointestinal tract outside the normal confines of the pancreas and lacking any anatomic or vascular connection...
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Schatzki ring

A Schatzki ring, also called a Schatzki-Gary ring, is a symptomatic, narrow oesophageal B-ring occurring in the distal oesophagus and usually associated with a hiatus hernia.  Epidemiology Relatively common, lower oesophageal rings are found in ~6-14% of oesophagrams 9.  Associations More th...
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Aortoesophageal fistula

Aortoesophageal (aorto-oesophageal) fistulae are pathologic communications between the aorta and oesophagus and result in life-threatening upper gastrointestinal haemorrhage. They are fatal in the absence of prompt management.  Epidemiology Aortoesophageal fistulas are a rare entity that accou...
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Spigelian hernia

Spigelian hernias (alternative plural: herniae), also known as lateral ventral hernias, are 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...
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Direct inguinal hernia

A direct inguinal hernia (alternative plural: herniae) is a type of groin herniation, that arises from protrusion of abdominal viscera through a weakness of the posterior wall of the inguinal canal medial to the inferior epigastric vessels, specifically through Hesselbach's triangle. This type ...
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Paravesical space

The paravesical spaces are paired avascular spaces of the pelvis. The paravesical spaces generally contain fat, but can become filled with ascites, blood, or other substances during pathological processes. Gross anatomy Boundaries superior: lateral umbilical folds inferior: pubocervical fasc...
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Torricelli-Bernoulli sign

The Torricelli-Bernoulli sign denotes non-dependent air trapped in a necrotic ulcer in a gastrointestinal tumour seen on axial CT or MRI. Occasionally, a vertical stream of bubbles can be seen issuing from the orifice of the ulcer. Terminology Torricelli's theorem gives the relation of the vel...
Article

Klebsiella

Klebsiella is a genus of Gram-negative, oxidase-negative, rod-shaped bacteria, which is relatively commonly encountered in the healthcare environment. It has numerous species, including K. pneumoniae, K. aerogenes, and K. rhinoscleromatis 1. Klebsiella may cause a range of infections, most commo...
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Small bowel mesentery internal hernia

Small bowel mesentery internal hernias (alternative plural: herniae) are a form of internal bowel herniation involving protrusions of viscera through defects in the peritoneum or bowel mesentery. Epidemiology This type of internal herniation is more often seen in neonates than in adults ref. ...
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Portal venous gas

Portal venous gas, also known as pneumatosis portalis, is the accumulation of gas in the portal vein and its branches. It needs to be distinguished from pneumobilia, although this is usually not too problematic when associated findings are taken into account along with the pattern of gas (i.e. p...
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Mackler's triad

Mackler's triad consists of the clinical symptoms of vomiting, followed by severe pain in the chest, usually retrosternal, lower thoracic, and upper abdominal, associated with subcutaneous emphysema detected on physical examination, which is suggestive of oesophageal rupture (Boerhaave syndrome)...
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Diffuse small bowel disease

Diffuse small bowel disease may be caused by a number of conditions may be generalised multisystem disorders or conditions that effect the bowel in a global fashion: sprue scleroderma Whipple's disease amyloidosis hypoproteinaemia giardiasis intramural haemorrhage radiation enteritis sm...
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Anderson triad

The Anderson triad consists of the clinical findings of tachypnoea and abdominal rigidity with lower thoracic or epigastric pain, associated with subcutaneous emphysema, which is usually related to oesophageal rupture. 
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Gastroschisis

Gastroschisis refers to an extra-abdominal herniation (evisceration) of fetal or neonatal bowel loops (and occasionally portions of the stomach and or liver) into the amniotic cavity through a para-umbilical anterior abdominal wall defect. Epidemiology The estimated incidence is around 1-6 per...
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Sliding hiatus hernia

A sliding hiatus hernia or type 1 hiatus hernia is considered the most common type of hiatus hernia. They can be present to varying degrees and can also co-exist with other types (inclusive of a rolling hiatus hernia). Clinical presentation Many patients may have gastro-oesophageal reflux. Som...

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