Articles

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More than 200 results
Article

Intraperitoneal organs (mnemonic)

A useful mnemonic to remember which organs are intraperitoneal is: SALTD SPRSS (pronounced 'salted spurs') Mnemonic S: stomach A: appendix L: liver T: transverse colon D: duodenum (first part) S: small intestines (jejunum and ileum) P: pancreas (only tail) R: rectum (upper third) S: s...
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Broad ligament hernia

Broad ligament hernias (alternative plural: herniae) are a type of internal hernia in which small bowel passes through a congenital or acquired defect in the broad ligament. Epidemiology Broad ligament herniation is very rare and accounts for 4%-7% of all internal hernias 1. Clinical presenta...
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Superior mesenteric artery

The superior mesenteric artery (SMA) is one of the three non-paired major splanchnic arteries in the abdominal cavity arising from the abdominal aorta and supplying the midgut; i.e. from mid duodenum to distal transverse colon. Gross anatomy Origin Single vessel arising anteriorly from the ab...
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Marginal zone lymphoma

Marginal zone lymphomas are a group of low grade non-Hodgkin lymphoma that arise from the marginal zone of B cell germinal follicles in lymph nodes. There are three types of marginal zone lymphomas depending on the site of origin, namely mucosa-accosiated lymphoid tissue (MALT), splenic and extr...
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Bouveret syndrome

Bouveret syndrome refers to a gastric outlet obstruction secondary to impaction of a gallstone in the pylorus or proximal duodenum. Thus, it can be considered a very proximal form of gallstone ileus.  Clinical presentation Bouveret syndrome occurs most commonly in elderly women. The presenting...
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N-butyl-2-cyanoacrylate pulmonary embolism

N-butyl-2-cyanoacrylate pulmonary embolism is a potentially life-threatening complication that can arise following the use of the tissue glue, butyl-cyanoacrylate, for endoscopic sclerotherapy to treat variceal bleeding. Epidemiology Sclerosis with biological glue (butyl cyanoacrylate) is cons...
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Aphthoid ulceration

Aphthoid ulcers are shallow ulcers of the gastrointestinal mucosa. Pathology Aetiology infective inflammatory conditions Yersinia enterocolitis amoebic enterocolitis cytomegalovirus enterocolitis noninfective inflammatory conditions Crohn disease idiopathic granulomatous gastritis vasc...
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Zebra sign (disambiguation)

The evocative appearance of the coat of a zebra has been used for several distinctive signs in radiology: zebra sign: cerebellar haemorrhage 1 zebra sign: amyotrophic lateral sclerosis 2 zebra spleen: arterial phase appearance of normal spleen 4,5 zebra stripe sign: treated osteogenesis impe...
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Gastrointestinal stents

Gastrointestinal (GI) stents are increasingly used to treat obstruction of the GI tract, most commonly due to malignancy. Types of stent oesophageal stent gastric stent duodenal stent enteric stent colorectal stent History and etymology Somewhat surprisingly the word 'stent' is actually ...
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Sabre sign (pneumobilia)

The sabre sign refers to a pattern of gas distribution seen in supine abdominal radiographs of patients with pneumobilia.  A sword-shaped lucency is apparent in the right paraspinal region of the upper abdomen representing arching gas extending from the common bile duct into the left hepatic duc...
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Phlegmonous gastritis

Phlegmonous gastritis, also known as phlegmonitis of the stomach, is an uncommon, life-threatening condition which is due to diffuse infection of the submucosa of the stomach.  Epidemiology Although the gastric form is the commonest type of phlegmonitis seen in the gastrointestinal tract, it r...
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Fundoplication

Fundoplications are forms of antireflux surgery used as a second line of treatment of gastrooesophageal reflux disease after failure of medical treatment and the first line of treatment of paraoesophageal hernia. Technique A gastric fold is wrapped around the distal oesophagus which enforces t...
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Abdominal trauma

Abdominal trauma is usually divided into blunt and penetrating trauma. Findings of abdominal trauma haemoperitoneum splenic trauma: most common hepatic trauma renal trauma pancreatic trauma gastrointestinal tract (bowel) trauma: proximal jejunum is most commonly affected by blunt trauma,...
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Haematopoietic stem cell transplantation (abdominal complications)

Abdominal complications of haematopoietic stem cell transplantation can occur early (0-100 days) or late (>100 days) post-transplant.  Complications Early bacterial infections, e.g. pseudomembranous colitis fungal infections, often affecting the oesophagus or as hepatic/splenic microabscesse...
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Mesenteric lipoma

Mesenteric lipomas are uncommon benign fat-containing lesions. Pathology Like other lipomas, they are comprised of mature adipocytes. Radiographic features Although described on both CT and ultrasound, they are more commonly seen on CT. Ultrasound Usually seen as a well-encapsulated, homog...
Article

Oesophageal leiomyomatosis

Oesophageal leiomyomatosis is rare benign condition. Epidemiology It usually presents at childhood. There is a recognised increased female predilection. Pathology It is considered a hamartomatous condition and is associated with abnormal diffuse proliferation of smooth muscle fibres in dista...
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Spleen size (paediatric)

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) 1-3: 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)...
Article

Small bowel diaphragm disease

Small bowel diaphragm disease is a rare clinical entity involving diaphragm-like septa causing small bowel lumen narrowing. Epidemiology Small bowel diaphragm disease is a relatively rare disease, with limited reported literature on its incidence and prevalence 1. Risk factors The following ...
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Vicarious contrast media excretion

Vicarious contrast media excretion (VCME) refers to the excretion of intravascularly-administered water-soluble iodinated contrast media in a way other than via normal renal excretion. More rarely it may occur following oral contrast medium administration 6. Epidemiology The most common vicari...
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Autoimmune pancreatitis (diagnostic criteria)

There are several sets of diagnostic criteria for autoimmune pancreatitis (AIP), with some overlap and contradictions. Several different sets of diagnostic criteria are in use 4. Asian 2008 AIP diagnostic criteria both criteria I to be fulfilled one criterion II consistent histology The cr...

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