Articles

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More than 200 results
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Lipomatosis

Lipomatosis is a condition where there is diffuse excessive fat deposition within the body. Although considered a single entity in the WHO classification of soft tissue and bone tumors 7, lipomatosis encompasses a variety of conditions heterogeneous in demographics, distribution and etiology. Th...
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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. For...
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Small bowel ischemia

Small bowel 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 Etiology It can be divided into acute and chronic forms, with the main underlying etiologies (each discussed separ...
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Gastric cancer (TNM staging)

Gastric cancer staging is routinely performed using the TNM staging system. This article is based on the 8th edition of the AJCC TNM classification of malignant tumors. This is technically the clinical TNM staging (cTNM). cTNM staging (8th edition) T Tx: primary tumor cannot be assessed T0: ...
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Abdominoperineal resection

Abdominoperineal resection (APR), or abdominoperineal excision of the rectum (APER), is a type of surgery for the treatment of predominantly low rectal carcinoma in which the sigmoid colon, rectum, and anal canal are removed leaving behind a permanent colostomy. Indications Most commonly in pa...
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Spleen

The spleen is an organ of the hematological 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 th...
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Median arcuate ligament

The median arcuate ligament is a fibrous arch connecting the left and right diaphragmatic crura at the aortic hiatus 1,2. A low-lying median arcuate ligament can compress the celiac axis to cause celiac artery compression syndrome which is also known as median arcuate ligament syndrome (MALS) 2.
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Odynophagia

Odynophagia is the term given for painful swallowing.  Pathology It can arise from a number of causes which include esophageal inflammation - esophagitis esophageal infection substernal dysphagia tonsillitis pharyngitis esophageal spasm See also dysphagia: difficulty swallowing.
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Incompetent ileocecal valve

An incompetent ileocecal valve is a situation where there can be reflux of backward flow of food content from the large bowel (cecum) through to the small bowel (terminal ileum) and through the ileocecal valve. A low degree of incompetence is not an uncommon finding 3. In some states, patients m...
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Aortic hiatus

The aortic hiatus is one of the three major apertures through the diaphragm and lies at the level of T12. Strictly speaking, it is not a real aperture in the diaphragm, but an osseoaponeurotic opening between it and the vertebral column.  The hiatus is situated slightly to the left of the midli...
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Meandering main pancreatic duct

Meandering main pancreatic duct (MMPD) denotes a main pancreatic duct that drains normally into the major papilla but performs a hairpin turn (reverse Z-type) or loop (loop-type) in the pancreatic head, in contradistinction to the smooth curvature seen in most cases. These ductal variants are f...
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Lumboperitoneal shunt

Lumboperitoneal (LP) shunts are a device used to shunt cerebrospinal fluid in the treatment of increased CSF pressure. As the name suggests, a catheter is placed with its tip in the lumbar spinal canal (intrathecal). The distal catheter is tunneled under the skin and into the peritoneal cavity....
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Pseudokidney sign (intussusception)

The pseudokidney sign is a characteristic ultrasound appearance in some cases of intestinal intussusception. It refers to the longitudinal ultrasound appearance of the intussuscepted segment of bowel which mimics a kidney. The fat-containing mesentery, containing vessels, which is dragged into ...
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Bucket handle mesenteric injury

Bucket handle mesenteric injuries are avulsions of the mesentery off a bowel segment (the handle) due to shearing forces in blunt trauma to the bowel and mesentery. Laceration of the mesenteric vessels results in intestinal ischemia. Clinical presentation The most common mechanism of injury in...
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Esophageal leiomyoma

Esophageal leiomyoma is a benign smooth muscle neoplasm of the esophagus. It is the most common benign tumor of the esophagus. Epidemiology It is most frequently presents in young and middle age groups (20-50 years). The overall incidence is around 8-43 per 10,000 autopsy series 4. Clinical p...
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Pediatric appendicitis score

The Pediatric Appendicitis Score (PAS) is a clinical decision rule and predictor of the likelihood of acute appendicitis in the pediatric population 1. Criteria cough/percussion/hopping tenderness in right lower quadrant (+2) anorexia (+1) fever (+1) nausea or emesis (+1) tenderness in rig...
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Intravenous drug user

Intravenous drug users (IVDU) are people who inject non-medical and controlled medical drugs (and may have substance use disorder) for non-medical purposes. Frequently injected drugs include heroin, cocaine, prescription opioids and methamphetamine 6.  Terminology More neutral terms such as pe...
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Bird beak sign (sigmoid colon)

Bird's beak sign of the sigmoid is one of the signs of sigmoid volvulus. It represents gradual narrowing/tapering of the sigmoid colon up to the level of obstruction during contrast/barium insertion to the rectum or on CT. When located in the sigmoid colon, it suggests the diagnosis of sigmoid ...
Article

Rectal prolapse

A rectal prolapse is a form of pelvic organ prolapse and refers to the prolapse of the rectum into the anal canal. They can involve the entire wall of the rectum or only the mucosal layer. Epidemiology Rectal prolapse in Western populations is more common in females (M:F 1:4). In women, it is ...
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Pancreatic intraductal tubulopapillary neoplasm

Pancreatic intraductal tubulopapillary neoplasms (ITPNs) are rare variants of intraductal papillary neoplasms. Unlike an IPMN, an ITPN does not produce mucin. Epidemiology The prevalence is unclear. Small series show no gender predilection and an average age of presentation of 58 years old 1. ...

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