Articles

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More than 200 results
Article

CT colonography reporting and data system

CT Colonography Reporting and Data System (C-RADS) is a method for standardizing CT colonography (CTC) reporting. The current revision is 2023 5. Terminology A polyp is defined as a homogenous soft tissue attenuation lesion projecting into the colonic lumen with a fixed point of attachment to ...
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Torricelli-Bernoulli sign

The Torricelli-Bernoulli sign denotes non-dependent air trapped in a necrotic ulcer in a gastrointestinal tumor 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 velo...
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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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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 esophageal 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 generalized multisystem disorders or conditions that effect the bowel in a global fashion: sprue scleroderma Whipple's disease amyloidosis hypoproteinemia giardiasis intramural hemorrhage radiation enteritis smal...
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Anderson triad

The Anderson triad consists of the clinical findings of tachypnea and abdominal rigidity with lower thoracic or epigastric pain, associated with subcutaneous emphysema, which is usually related to esophageal 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-esophageal reflux. Some...
Article

Enteric contrast medium (CT)

Enteric contrast media can be given to patients before their CT exam to improve its diagnostic accuracy. Historically, a combination of oral and intravenous contrast media were always given prior to a CT abdomen. Contemporaneously, improved CT scanners mean that oral contrast agents are no longe...
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Inflammatory bowel disease (thoracic manifestations)

Thoracic manifestations of both ulcerative colitis and Crohn disease can be variable and cannot be used to differentiate between these entities. They can develop at any time with respect to the clinical onset of the underlying disease. Actually, they can also predate the colonic disease or deve...
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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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Infective enteritis

Infective enteritis is a common condition although, routinely, does not require imaging. Clinical pathology Patients can present with fevers, colicky abdominal pain, diarrhea, nausea and vomiting 2,3.  Pathology There are numerous organisms that can cause infective enteritis with classically...
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Gastric volvulus

Gastric volvulus is a specific type of volvulus that occurs when the stomach twists on its mesentery. It should be at least 180° and cause bowel obstruction to be called gastric volvulus. Merely gastric rotation on its root is not considered gastric volvulus. Epidemiology Organo-axial volvulus...
Article

Peritoneal metastases

Peritoneal metastases are a relatively common location for metastases, particularly from tumors of the abdomen and pelvis, that generally imply a poor prognosis, often with a significant impact on palliation 1. Terminology If peritoneal metastases are of an epithelial origin (as most are) and ...
Article

Congenital pouch colon

Congenital pouch colons are an anomaly in which there is cystic dilation of a shortened colon. They can either partially or totally replace the colon. Pathology Associations Congenital pouch colons can be associated with vaginal or vestibular fistulas and less frequently with other genitourin...
Article

Gastric emphysema

Gastric emphysema, referring to the presence of gas in the wall of the stomach, is a relatively rare imaging finding 1. The stomach is the least common location for intramural gas in the gastrointestinal tract.  Pathology Etiology There is a wide range of causes, ranging from life-threatening...
Article

Perivascular epithelioid cell tumors (PEComas)

Perivascular epithelioid cells tumors (PEComas) are a group of related mesenchymal tumors and tumor-like conditions found in many locations. This group includes: angiomyolipoma (AML) clear cell "sugar" tumor of the lung lymphangioleiomyomatosis (LAM) clear cell myomelanocytic tumor (CCMMT) ...
Article

Hypervascular splenic lesions

Hypervascular splenic lesions are findings that enhance more or similarly to the background splenic parenchyma on late arterial phase, on contrast-enhanced CT or MRI. Vascular mycotic aneurysm Neoplastic splenic hemangioma 2 most common primary benign neoplasm of the spleen second most com...

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