Items tagged “general surgery”
122 results found
Article
Abdominal hernia
Abdominal hernias/herniae may be congenital or acquired and come with varying eponyms. They are distinguished primarily based on type, location and content.
Epidemiology
75-80% of all hernias are inguinal ref.
Pathology
Content of the hernia is variable, and may include:
small bowel loops
...
Article
Cecal volvulus
Cecal volvulus describes torsion of the cecum around its mesentery which often results in obstruction. If unrecognised, it can result in bowel perforation and fecal peritonitis.
Epidemiology
Cecal volvulus accounts for ~10% of all intestinal volvuluses, and generally occur in somewhat younger ...
Article
Colorectal cancer
Colorectal cancer is the most common cancer of the gastrointestinal tract and is one of the most frequently diagnosed malignancies in adults. CT is the mainstay for colon cancer locoregional staging and MRI is the mainstay for rectal cancer locoregional staging.
This article focuses on colon ca...
Article
Epiploic appendagitis
Epiploic appendagitis is a rare self-limiting ischemic/inflammatory process that affects the appendices epiploicae of the colon and may either be primary or secondary to adjacent pathology. This article pertains to primary (spontaneous) epiploic appendagitis. The term, along with omental infarct...
Article
Hiatus hernia
Hiatus hernias (alternative plural: herniae) occur when there is herniation of abdominal contents through the esophageal hiatus of the diaphragm into the thoracic cavity.
Epidemiology
The prevalence of hiatus hernia increases with age, with a slight female predilection.
Clinical presentation
...
Article
Hinchey classification of acute diverticulitis
The Hinchey classification for acute diverticulitis (anywhere along the bowel, not just the colon) has been variously adapted and modified since its original description, and is useful not only in academia but also in outlining successive stages of severity 3,5,6. Adoption and utility of the va...
Article
Incisional hernia
Incisional hernias (alternative plural: herniae) are relatively common and along with parastomal hernias, umbilical hernias, paraumbilical hernias, and Spigelian hernias, they are usually anterior abdominal hernias.
Epidemiology
Incisional hernias usually develop within a few months of surgery...
Article
Intussusception
Intussusception occurs when one segment of the bowel is pulled into itself or a neighboring loop of the bowel by peristalsis. It is an important cause of an acute abdomen in children and merits timely ultrasound examination and reduction to preclude significant sequelae, including bowel necrosis...
Article
Ischemic colitis
Ischemic colitis refers to inflammation of the colon secondary to vascular insufficiency and ischemia. It is sometimes considered under the same spectrum as intestinal ischemia. The severity and consequences of the disease are highly variable.
Epidemiology
Ischemic bowel is typically a disease...
Article
Multiple endocrine neoplasia type 1
Multiple endocrine neoplasia type 1 (MEN1), also known as Wermer syndrome, is an autosomal dominant genetic disease that results in proliferative lesions in multiple endocrine organs, particularly the pituitary gland, pancreas, and parathyroid glands.
There are other multiple endocrine neoplas...
Article
Esophageal carcinoma
Esophageal carcinoma is globally the 7th most common cancer and 6th most common cause of cancer-related death as per NCCN version 3.2023. It tends to present with increasing dysphagia, initially to solids and progressing to liquids as the tumor increases in size, obstructing the lumen of the eso...
Article
Portal venous gas
Portal venous gas 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. peripheral in portal venous gas, centr...
Article
Thyroid gland
The thyroid gland is a single midline endocrine organ in the anterior neck responsible for thyroid hormone production which lies in the visceral space completely enveloped by pretracheal fascia (middle layer of the deep cervical fascia).
Gross anatomy
The thyroid extends from C5 to T1 and lies...
Article
Thyroidea ima artery
The thyroidea ima artery is an uncommon variant of the blood supply to the inferior aspect of the thyroid gland. It is reported in ~7.5% (range 1.5-12.2%) of individuals and can arise from:
brachiocephalic trunk (most common: 1.9-6.0%)
right common carotid artery
aortic arch
internal thoraci...
Article
Target sign (intussusception)
The target sign of intestinal intussusception, also known as the doughnut sign or bull's eye sign.
The appearance is generated by concentric alternating echogenic and hypoechoic bands. The echogenic bands are formed by the serosa and submucosa either side of the hypoechoic muscularis propria 1....
Article
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...
Article
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 ...
Article
Large bowel obstruction
Large bowel obstruction (LBO) is often impressive on imaging, on account of the ability of the large bowel to massively distend. This condition requires prompt diagnosis and treatment.
Terminology
Bowel obstruction may be complete or incomplete 6:
complete or high grade obstruction means tha...
Article
Closed loop obstruction
Closed loop obstructions are a specific type of bowel obstruction in which two points along the course of the bowel are obstructed, usually but not always the transition points are adjacent at a single location. The closed loop refers to a segment of bowel without proximal or distal outlets for ...
Article
Sigmoid volvulus
Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon.
Epidemiology
Large bowel volvulus accounts for ~5% of all large bowel obstructions, with ~60% of intestinal volvulus involving the sigmoid colon 6. It is mor...