Articles

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1,465 results found
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Left hemicolectomy

Left hemicolectomy is a surgical procedure in which splenic flexure, descending colon, and a portion of the sigmoid colon are removed for radical treatment of various pathologies affecting the descending colon. Indications colon cancer inflammatory bowel disease isolated left diverticular di...
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Normal gastrointestinal tract imaging examples

This article lists examples of normal imaging of the gastrointestinal tract and surrounding structures, divided by modality. Plain radiograph abdominal film example 1 example 2: erect and supine example 3: pediatric example 4: pediatric example 5: young adult male Barium studies barium ...
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Paraesophageal hernia

Paraesophageal hernias (POH), or rolling hiatus hernias, are an uncommon type of hiatus hernia representing ~10% of all hiatus hernias.  Clinical presentation Can vary and can include: asymptomatic gastro-esophageal reflux disease  substernal, post-prandial chest pain epigastric pain dysp...
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Hepatic and splenic tuberculosis

Hepatic and splenic tuberculosis refers to tuberculosis affecting the liver and the spleen. It generally occurs due to hematogenous spread from the primary site of infection, commonly from pulmonary tuberculosis. Pathology Two types of lesions are known: micronodular (common) macronodular (r...
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Whole-body CT (protocol)

CT polytrauma/multitrauma, also called trauma CT, whole body CT (WBCT) or panscan, is an increasingly used investigation in patients with multiple injuries sustained after significant trauma. The majority of the evidence regarding whole-body CT is, understandably, retrospective. There is some e...
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Rectal MRI (an approach)

Rectal MRI is a key imaging investigation in the diagnosis, staging and follow up of rectal cancer. An increase in the utility of rectal MRI as been driven by the recognition of the mesorectum as a distinct anatomic compartment containing and limiting the margins of the rectum, and forming a sur...
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Venous intravasation

Venous intravasation is the unintended introduction of radiographic contrast material into the local venous system. It is a well-recognized phenomenon during retrograde urethrograms 1,2 and hysterosalpingograms (HSG), although can occur with other invasive procedures in the vicinity of venous pl...
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Right hemicolectomy

A right hemicolectomy is a surgical procedure to remove the cecum and ascending colon. Indications cancer of the appendix, cecum or ascending colon (most common) 1 inflammatory bowel disease, particularly Crohn's disease complicated appendicitis cecal volvulus perforation of the right colo...
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Pancreatic ductal adenocarcinoma

Pancreatic ductal adenocarcinoma, frequently referred to as pancreatic cancer, makes up the vast majority (~90%) of all pancreatic neoplasms and remains a disease with a very poor prognosis and high morbidity. Epidemiology Pancreatic cancer accounts for 22% of all deaths due to gastrointestina...
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Gastric diverticulum

Gastric diverticula are sac-like outpouchings that most commonly originate from the posterior surface of the gastric fundus. They are the least common of the gastrointestinal diverticula.  Epidemiology Gastric diverticula are rare and commonly detected incidentally. The incidence varies from 0...
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Water-soluble contrast challenge

A water-soluble contrast challenge (more widely known as a Gastrografin challenge) is a combined diagnostic study and therapeutic intervention utilized in the evaluation and management of small bowel obstruction. It is used when clinical or imaging features determine there to be small bowel obst...
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Retroperitoneal fasciitis

Retroperitoneal fasciitis (rare plural: retroperitoneal fasciitides) is a rare potentially life-threatening infection of the retroperitoneum. It is the retroperitoneal equivalent of necrotizing fasciitis or non-necrotizing soft tissue fasciitis, and just like its soft tissue counterpart, maybe n...
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Pneumatosis coli

Pneumatosis coli is a descriptive sign presenting radiographically as intramural gas limited to the colonic wall.  Terminology There are different terminologies in the medical literature, such as pneumatosis intestinalis, pneumatosis coli, and pneumatosis cystoides intestinalis. Pneumatosis in...
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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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Peritoneal hydatidosis

Peritoneal hydatidosis occurs secondary to the seeding of echinococcosis into the peritoneum, usually secondary to the rupture of hydatid disease of the liver. Pathology Seeding involves the entire peritoneum and gives appearance of a multiloculated mass.  Classification Peritoneal hydatidos...
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Lower gastrointestinal bleeding

Lower gastrointestinal bleeding (LGIB) is defined as that occurring distal to the ligament of Treitz (i.e. from the jejunum, ileum, colon, rectum or anus) and presenting as either hematochezia (bright red blood/clots or burgundy stools) or melena. Epidemiology The incidence of lower gastrointe...
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Rigler sign (bowel)

The Rigler sign, also known as the double-wall sign, is a sign of pneumoperitoneum seen on an abdominal radiograph when gas is outlining both sides of the bowel wall, i.e. gas within the bowel's lumen and gas within the peritoneal cavity. It is seen with large amounts of pneumoperitoneum (>1000 ...
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AAST spleen injury scale

The American Association for the Surgery of Trauma (AAST) splenic injury scale, revised in 2018, is the most widely used grading system for splenic trauma. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral injury 4...
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Rectal cancer response assessment

Assessment of rectal cancer response to therapy, which may be chemotherapy, radiotherapy, or a combination, relies on the synthesis of clinical, endoscopic and radiologic evaluation.  The purpose of neoadjuvant therapy is to downstage the tumor, to facilitate surgical resection, and reduce loca...
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Emphysematous pancreatitis

Emphysematous pancreatitis is an unusual complication of acute pancreatitis caused by necrotizing infection of the pancreas. It is associated with gas-forming bacteria and characterized by the presence of gas within or around the pancreas 1.  Pathology Infection with gas-forming bacteria such ...

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