Superior Mesenteric Artery (SMA) Syndrome. Case of the Month - October 2017 Jane Meng, PGY-2
|
|
- Martha Hunt
- 5 years ago
- Views:
Transcription
1 Superior Mesenteric Artery (SMA) Syndrome Case of the Month - October 2017 Jane Meng, PGY-2
2 Case Study 19F presented to the ER with: Right upper quadrant pain Nausea VomiKng Same day US study was negakve for cholecyskks and cholelithiasis Past medical history of gastric distension NYD requiring NG tube decompression
3 Imaging Findings CECT Superior Mesenteric Artery (SMA) Syndrome Compression of the 3 rd porkon of the duodenum between the superior mesenteric artery (SMA) and abdominal aorta
4 Imaging Findings CECT Distended proximal duodenum Dilated stomach AMD 5 mm with compression of the transverse duodenum Decreased aortomesenteric distance (AMD) between abdominal aorta and SMA (N = mm) on axial plane
5 Imaging Findings Abdominal US AMD 5 mm with compression of the transverse duodenum Decreased aortomesenteric distance (AMD) between abdominal aorta and SMA (N = mm) on transverse plane
6 Imaging Findings CECT Decreased aortomesenteric angle (AMA) on the sagizal plane (N = ) AMA 12 Transverse duodenum
7 Imaging Findings Upper GI Series Barium Upper GI Series Extrinsic compression on transverse duodenum Proximal duodenal dilatakon May see ankperistalkc flow of barium proximal to compressed transverse duodenum
8 SMA Syndrome Clinical PresentaKon Signs & Symptoms Postprandial pain Epigastric pain Weight loss VomiKng Nausea
9 SMA Syndrome Predisposing Factors 1. Weight loss DepleKon of retroperitoneal fat around transverse duodenum Chronic waskng diseases, catabolic states Anorexia, malabsorpkon 2. PostoperaKve states Scoliosis surgery Bariatric surgery 3. Anatomical/congenital anomalies Cephalad dislocakon of duodenum related to high inserkon of ligament of Treitz Low origin of SMA
10 SMA Syndrome - DifferenKal Diagnosis A. Duodenal bowel obstruckon Gastroduodenoscopy can assess for intraluminal obstruckve causes B. Duodenal stricture Ohen posknflammatory secondary to duodenal ulcer C. IntesKnal scleroderma Correlate with non-intesknal findings of scleroderma
11 SMA Syndrome - Treatment 1. Non-operaKve PosiKonal maneuvers to relieve pain: Prone Knee-chest Leh lateral decubitus NG tube decompression of stomach Increase body weight with parenteral or tube feeds 2. OperaKve Duodenojejunostomy Gastrojejunostomy
12 SMA Syndrome - Other ConsideraKons Nutcracker syndrome can occur simultaneously Also due to decreased AMA and AMD Compression of leh renal vein between SMA and abdominal aorta
13 SMA Syndrome - Other ConsideraKons Nutcracker syndrome clinical presentakon Hematuria Leh flank pain Pelvic congeskon Varicocele in males Leh-sided pelvic varicosikes
14 Case Study 19F presented to the ER with: Right upper quadrant pain Nausea VomiKng Same day US study was negakve for cholecyskks and cholelithiasis Past medical history of gastric distension NYD requiring NG tube decompression Treated non-operakvely, symptoms improved
15 References 1. Lamba R, Tanner DT, Sekhon S, McGahan JP, Corwin MT, Lall CG. MulKdetector CT of vascular compression syndromes in the abdomen and pelvis. Radiographics. 2014;34: Unal B, Aktas A, Kemal G, Bilgili Y, Guliter S, Daphan C, Aydinuraz K: Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 2005;11:90 95.
Case Report A Model Example: Coexisting Superior Mesenteric Artery Syndrome and the Nutcracker Phenomenon
Case Reports in Surgery Volume 2015, Article ID 649469, 4 pages http://dx.doi.org/10.1155/2015/649469 Case Report A Model Example: Coexisting Superior Mesenteric Artery Syndrome and the Nutcracker Phenomenon
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,900 116,000 120M Open access books available International authors and editors Downloads Our
More informationWorld Journal of Pharmaceutical Research SJIF Impact Factor 7.523
SJIF Impact Factor 7.523 Volume 7, Issue 1, 1571-1577. Case Report ISSN 2277 7105 INTESTINAL OBSTRUCTION IN AN 18-YEAR-OLD FEMALE WITH SUPERIOR MESENTERIC ARTERY SYNDROME: CASE REPORT AND LITERATURE REVIEW
More informationWilkie s syndrome: A rare cause of vomiting and weight loss
www.edoriumjournals.com CASE REPORT OPEN ACCESS Wilkie s syndrome: A rare cause of vomiting and weight loss Ali Coşkun, Deniz Uçar, Erdem Barış Carti, Erkan Oymaci, Mehmet Yıldırım, Nazif Erkan ABSTRACT
More informationOptimal Duration of Medical Treatment in Superior Mesenteric Artery Syndrome in Children
ORIGINAL ARTICLE Pediatrics http://dx.doi.org/10.3346/jkms.2013.28.8.1220 J Korean Med Sci 2013; 28: 1220-1225 Optimal Duration of Medical Treatment in Superior Mesenteric Artery Syndrome in Children Myung
More informationABDOMEN - GI. Duodenum
TALA SALEH ABDOMEN - GI Duodenum - Notice the shape of the duodenum, it looks like capital G shape tube which extends from the pyloroduodenal junction to the duodenojejunal junction. - It is 10 inches
More informationVascular Compression Syndromes in the Abdomen and Pelvis: Utility of CT angiography for diagnosis.
Vascular Compression Syndromes in the Abdomen and Pelvis: Utility of CT angiography for diagnosis. Poster No.: C-0778 Congress: ECR 2015 Type: Educational Exhibit Authors: P. Cartón Sánchez, M. R. López
More informationNutcracker Syndrome. Dr Heena Kithany Specialty Registrar Dorset County Hospitals NHS Trust
Nutcracker Syndrome Dr Heena Kithany Specialty Registrar Dorset County Hospitals NHS Trust Case 1: JB Referred at 17.9yrs with intermittent abdominal pain and few episodes of painless frank haematuria
More informationTHE SUPERIOR MESENTERIC ARTERY ANATOMICAL FEATURES THAT CAUSE VASCULAR COMPRESSION SYNDROMES
JOURNAL available at radiologyupdate.org THE SUPERIOR MESENTERIC ARTERY ANATOMICAL FEATURES THAT CAUSE VASCULAR COMPRESSION SYNDROMES Tomas Jurevičius, Deividas Mikalauskas, Algidas Basevičius, Vaida Atstupėnaitė
More informationNasogastric tube. Stomach. Pylorus. Duodenum 1. Duodenum 2. Duodenum 3. Duodenum 4
Esophagus Barium Swallow Stomach and Duodenum 4 year old Upper GI Nasogastric tube Stomach and Duodenum 4 year old Upper GI Nasogastric tube Stomach Pylorus Duodenum 1 Duodenum 2 Duodenum 3 Duodenum 4
More informationSuperior mesenteric artery (SMA) syndrome resulting from surgical
A Case Report & Literature Review Superior Mesenteric Artery Syndrome as a Complication of Scoliosis Surgery Philip K. Louie, MD, Bryce A. Basques, MD, Adam Bitterman, DO, Shalin Shah, BS, Kishan Patel,
More informationAbdominal Ultrasonography
Abdominal Ultrasonography David A. Masneri, DO, FACEP, FAAEM Assistant Professor of Emergency Medicine Assistant Director, Emergency Medicine Residency Medical Director, Operational Medicine Division Center
More informationLab Monitor Images Dissection of the Abdominal Vasculature + Lower Digestive System
Lab Monitor Images Dissection of the Abdominal Vasculature + Lower Digestive System Stomach & Duodenum Frontal (AP) View Nasogastric tube 2 1 3 4 Stomach Pylorus Duodenum 1 Duodenum 2 Duodenum 3 Duodenum
More informationJOHN M UECKER, MD, FACS COMPLEX PANCREATICODUODENAL INJURIES
JOHN M UECKER, MD, FACS COMPLEX PANCREATICODUODENAL INJURIES THE PROBLEM DUODENAL / PANCREATIC INJURIES Difficult to diagnose Not very common Anatomic and physiologic challenges 90% rate of associated
More informationMedian arcuate ligament syndrome. An unfrequent cause of abdominal pain.
Median arcuate ligament syndrome. An unfrequent cause of abdominal pain. Poster No.: C-2093 Congress: ECR 2015 Type: Educational Exhibit Authors: L. Caminero, M. L. Rozas, M. E. Banegas Illescas, J. A.
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 6/23/2012 Radiology Quiz of the Week # 78 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationCase Report Superior Mesenteric Artery Syndrome with Abdominal Compartment Syndrome
Case Reports in Emergency Medicine Volume 2016, Article ID 7809281, 4 pages http://dx.doi.org/10.1155/2016/7809281 Case Report Superior Mesenteric Artery Syndrome with Abdominal Compartment Syndrome Kevin
More informationCase Whirlpool sign in midgut volvulus
Case 11454 Whirlpool sign in midgut volvulus Emad El-din Althamer 1, Shagufta Jabeen 2, Nada Al-Assaf 1, Akram Jawad 1, Muhammad Hassan 1, Muhammad Fatani 1, Rumayan Al-Rumyan 1, A Aziz Mosabihi 1, Ahmeduddin
More informationFlouroscopy CT. Principal Modality (2): Case Report # [] Date accepted: 14 May 2015
Radiological Category: Emergency Principal Modality (1): Principal Modality (2): Flouroscopy CT Case Report # [] Submitted by: Haider Virani, M.D. Faculty reviewer: Naga Chinapuvvula, MD Date accepted:
More informationAbdominal pain in a 20-year-old woman
Internal Medicine Board Review CME CREDIT EDUCATIONAL OBJECTIVE: Readers will consider less common causes of abdominal pain and nonspecific diarrhea Lakshmi s. Pasumarthy, MD Clinical Faculty, Internal
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 09/17/2011 Radiology Quiz of the Week # 38 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationAbdominal radiology 腹部放射線學
Abdominal radiology 腹部放射線學 台北醫學大學 - 市立萬芳醫院 留偉順 laowilson@hotmail.com The Normal Abdominal Series Chest Supine abdomen Erect abdomen Left lateral decubitus abdomen Learning objectives Understanding normal
More informationThe abdominal Esophagus, Stomach and the Duodenum. Prof. Oluwadiya KS
The abdominal Esophagus, Stomach and the Duodenum Prof. Oluwadiya KS www.oluwadiya.com Viscera of the abdomen Abdominal esophagus: Terminal part of the esophagus The stomach Intestines: Small and Large
More informationA novel plain abdominal radiograph sign to diagnose malrotation with volvulus
A novel plain abdominal radiograph sign to diagnose malrotation with volvulus Nataraja RM 1, Mahomed AA 1* 1. Department of Paediatric Surgery, Royal Alexandra Hospital for Sick Children, Brighton,UK *
More informationVolvulus of the Gastrointestinal Tract: x-ray and CT imaging
Volvulus of the Gastrointestinal Tract: x-ray and CT imaging Poster No.: C-0076 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Papadaki, S. Paschalidou, S. GIANNOU ; Rethymno, CR/ 1 2 2 3 1 3
More informationThe Whipple Operation Illustrations
The Whipple Operation Illustrations Fig. 1. Illustration of the sixstep pancreaticoduodenectomy (Whipple operation) as described in a number of recent text books by Dr. Evans. The operation is divided
More informationCitation 泌尿器科紀要 (1994), 40(2):
Title Nutcracker phenomenon: a case with diagnostic criteria Author(s) Ishidoya, Shigeto; Chiba, Yutaka; S Seiichi Citation 泌尿器科紀要 (1994), 40(2): 135-138 Issue Date 1994-02 URL http://hdl.handle.net/2433/115201
More informationInternational Journal of Scientific & Engineering Research Volume 9, Issue 1, January ISSN
International Journal of Scientific & Engineering Research Volume 9, Issue 1, January-2018 1422 Management approach for mesenteric artery syndrome in the emergency department Hassan Mohammed AL madan,
More informationDuplex ultrasound is first-line imaging for all
Our Protocol for Transabdominal Pelvic Vein Duplex Ultrasound A summary of s protocol for pelvic vein duplex ultrasonography, including equipment, patient positioning, ultrasound settings, and technique.
More informationGastroschisis Sequelae and Management
Gastroschisis Sequelae and Management Mary Finn Gillian Lieberman, MD Primary Care Radiology Beth Israel Deaconess Medical Center Harvard Medical School April 2014 Outline I. Definition and Epidemiology
More informationLEFT RENAL VEIN COMPRESSION
MANAGEMENT of LEFT RENAL VEIN COMPRESSION in PATIENTS PRESENTING LEFT GONADAL VEIN REFLUX J. LEAL MONEDERO, MD S. ZUBICOA EZPELETA, MD angiovascularlyz@gmail.com Hospital Ruber Internacional. Madrid Á.
More informationMEDICAL UNIVERSITY OF BIALYSTOK SURGERY SYLLABUS.... (first name and surname)
MEDICAL UNIVERSITY OF BIALYSTOK SURGERY SYLLABUS... (first name and surname) Year 3 (semester 5/6) lectures seminars classes 1st Department of General and Endocrinological Surgery 2nd Department of General
More informationAbdominal Pain. Luke Donnelly, MD Emergency Medicine
Abdominal Pain Luke Donnelly, MD Emergency Medicine Objectives Approach to abdominal pain Evaluation Critical diagnoses and treatments Abdominal Pain Most Common ER Complaint Broad Differential Can often
More informationDr. Zahiri. In the name of God
Dr. Zahiri In the name of God small intestine = small bowel is the part of the gastrointestinal tract Boundaries: Pylorus Ileosecal junction Function: digestion and absorption of food It receives bile
More informationIntroduction and Definitions
Bowel obstruction Introduction and Definitions Accounts for 5% of all acute surgical admissions Patients are often extremely ill requiring prompt assessment, resuscitation and intensive monitoring Obstruction
More informationAbdominal Exam. Winter Quarter Adapted from previous years by Amanda Kocoloski, OMS IV
Abdominal Exam Winter Quarter 2010 Adapted from previous years by Amanda Kocoloski, OMS IV Agenda ó History ó Anatomy ó Physical ó Prac4ce cases ó 2 gastrointes4nal complaints ó Work on incorpora4ng GI
More informationPlain abdomen The standard films are supine & erect AP views (alternative to erect, lateral decubitus film is used in ill patients).
Plain abdomen The standard films are supine & erect AP views (alternative to erect, lateral decubitus film is used in ill patients). The stomach can be readily identified by its location, gastric rugae
More informationASSESSING THE PLAIN ABDOMINAL RADIOGRAPH M A A M E F O S U A A M P O F O
ASSESSING THE PLAIN ABDOMINAL RADIOGRAPH M A A M E F O S U A A M P O F O Introduction The abdomen (less formally called the belly, stomach, is that part of the body between the thorax (chest) and pelvis,
More informationAbdominal Pain in Pediatric Patients Image Gently
Abdominal Pain in Pediatric Patients Image Gently Susan D. John, M.D. Baptist Health Emergency Radiology 2017 Disclosure I have no financial relationships with a commercial entity producing healthcarerelated
More informationPreview from Notesale.co.uk Page 1 of 34
Abdominal viscera and digestive tract Digestive tract Abdominal viscera comprise majority of the alimentary system o Terminal oesophagus, stomach, pancreas, spleen, liver, gallbladder, kidneys, suprarenal
More informationX-ray Corner. Imaging of the Small Bowel. Pantongrag-Brown L. Case 1. A 63-year-old man presented with abdominal pain, nausea and vomiting.
THAI J 42 Imaging of the Small Bowel GASTROENTEROL 2015 X-ray Corner Imaging of the Small Bowel Pantongrag-Brown L Small bowel is the longest tubular organ in the body, about 18-22 feet. It is anchored
More informationAnatomy: Know Your Abdomen
Anatomy: Know Your Abdomen Glossary Abdomen - part of the body below the thorax (chest cavity); separated by the diaphragm. Anterior - towards the front of the body. For example, the umbilicus is anterior
More informationGI Grand Rounds. A A Lifetime of Abdominal Pain 12/9/2004 Tim Edwards
GI Grand Rounds A A Lifetime of Abdominal Pain 12/9/2004 Tim Edwards PMH Aug 25, 1992 4 year old male presents to a pediatric gastroenterologist for primary complaint of anorexia, intermittent abdominal
More informationد. عصام طارق. Objectives:
GI anatomy Lecture: 5 د. عصام طارق Objectives: To describe anatomy of stomach, duodenum & pancreas. To list their main relations. To define their blood & nerve supply. To list their lymph drainage. To
More informationPediatric Abdomen Trauma
Pediatric Abdomen Trauma Susan D. John, MD, FACR Pediatric Trauma Trauma is leading cause of death and disability in children and adolescents Causes and effects vary between age groups Blunt trauma predominates
More informationHome FAQ Archives ABP Topics NeoReviews.org My Bookmarks CME Information Help. Print this Page Add to my Bookmarks Page 3 of 10
Welcome Kristin Ingstrup [ Logout ] SEARCH Home FAQ Archives ABP Topics NeoReviews.org My Bookmarks CME Information Help Overview Editorial Board My Learning Plan January February March May June July August
More informationVisceral Vascular Ultrasound. Joel Thompson, MD, MPH Borg & Ide Imaging
Visceral Vascular Ultrasound Joel Thompson, MD, MPH Borg & Ide Imaging Objectives: Review major abdominal vascular structures Identify normal peak systolic velocity (PSV) for major abdominal arteries.
More informationNUTCRACKER SYNDROME: ADVANTAGE, INCONVENIENT AND OUTCOMES IN THE PUBLISHED LITERATURE LAPAROSCOPY OR ROBOTIC
NUTCRACKER SYNDROME: ADVANTAGE, INCONVENIENT AND OUTCOMES IN THE PUBLISHED LITERATURE LAPAROSCOPY OR ROBOTIC Fabien THAVEAU, Anne Lejay, Benoit LUCEREAU, Yannick Georg, Pierre DELANNOY, Frédéric BECK,
More informationChapter 14: Training in Radiology. DDSEP Chapter 1: Question 12
DDSEP Chapter 1: Question 12 A 52-year-old white male presents for evaluation of sudden onset of abdominal pain and shoulder pain. His past medical history is notable for a history of coronary artery disease,
More informationWhat is Your Diagnosis?
What is Your Diagnosis? Izabela Ragan, Class of 2014 Signalment Species: Canine Breed: English Bulldog Sex: Male castrated Date of birth: 04/14/11 Presenting Complaint Dog was presented for vomiting and
More informationPancreaticoduodenectomy performed in a patient with situs ambiguous accompanied with isolated levocardia, malrotation, and normal spleen
CASE REORT pissn 2288-6575 eissn 2288-6796 http://dx.doi.org/10.4174/astr.2014.87.6.340 Annals of Surgical Treatment and Research ancreaticoduodenectomy performed in a patient with situs ambiguous accompanied
More informationKey words: anomaly of intestine, reversed rotation, adult
Key words: anomaly of intestine, reversed rotation, adult n92+ 4 n Fig. 1 Barium enema obstruction of the arrows) and mobile seen. (prone position, : Extrinsic transvers colon (between cecum (round arrow)
More informationDepartment of General Surgery, Keçiören Training and Research Hospital, Ankara, Türkiye. 2
Original Article General Surgery Medical Journal of Islamic World Academy of Sciences doi: 10.5505/ias.2018.66674 2018;26(1): 1-5 Nutcracker syndrome with different clinical presentations in a young male
More informationAccepted Article. Massive gastrointestinal pneumatosis in a patient with celiac disease and superior mesenteric artery syndrome
Accepted Article Massive gastrointestinal pneumatosis in a patient with celiac disease and superior mesenteric artery syndrome Aleix Martínez-Pérez, Ramón Trullenque-Juan, Sandra Santarrufina-Martínez,
More informationMDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls
MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls Poster No.: C-0987 Congress: ECR 2015 Type: Educational Exhibit Authors: D. V. Bhargavi, R. Avantsa, P. Kala; Bangalore/IN
More informationAnatomy of the SMALL INTESTINE. Dr. Noman Ullah Wazir PMC
Anatomy of the SMALL INTESTINE Dr. Noman Ullah Wazir PMC SMALL INTESTINE The small intestine, consists of the duodenum, jejunum, and illium. It extends from the pylorus to the ileocecal junction were the
More informationC.Y. Lin, B.Y. Lin, and P.L. Kang Aortic aneurysm Figure 1. Preoperative computerized tomography shows a 6.8 cm infrarenal abdominal aortic aneurysm.
DUODENAL OBSTRUCTION AFTER ELECTIVE ABDOMINAL AORTIC ANEURYSM REPAIR: A CASE REPORT Chun-Yao Lin, Bor-Yen Lin, and Pei-Luen Kang Division of Cardiology, Department of Surgery, Kaohsiung Veterans General
More informationMy Patient Has Abdominal Pain PoCUS of the Biliary Tract and the Urinary Tract
My Patient Has Abdominal Pain PoCUS of the Biliary Tract and the Urinary Tract Objectives PoCUS for Biliary Disease PoCUS for Renal Colic PoCUS for Urinary Retention Biliary Disease A patient presents
More informationPostgastrectomy Syndromes
Postgastrectomy Syndromes Postgastrectomy syndromes are iatrogenic conditions that may arise from partial gastrectomies, independent of whether the gastric surgery was initially performed for peptic ulcer
More informationRole of radiology and imaging in the daignosis of acute abdominal conditions
Role of radiology and imaging in the daignosis of acute abdominal conditions Miah MAY Introduction In our day to day practice we have to face many of the acute abdominal conditions. As we know acute abdomen
More informationRetrograde flow in the left ovarian vein is a shunt, not reflux
Retrograde flow in the left ovarian vein is a shunt, not reflux Poster No.: C-0846 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Livsey; Brisbane/AU Keywords: Genital / Reproductive system female,
More informationDuodenum - Imaging Findings beyond endoscopy
Duodenum - Imaging Findings beyond endoscopy Poster No.: C-1706 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, S. Magalhães, A. B. Ramos, M. Certo, J. Pires ; 1 1 2 2 2 2 2 V.N. Famalicão/PT,
More informationCASE REPORT GASTRODUODENAL INTUSSUSCEPTION SECONDARY TO GASTROINTESTINAL STROMAL TUMOR AS LEAD POINT A CASE REPORT
GASTRODUODENAL INTUSSUSCEPTION SECONDARY TO GASTROINTESTINAL STROMAL TUMOR AS LEAD POINT A Muraliswar Rao J 1, Narvekar V.N 2, Priyanka Rao S 3, Rakesh Kumar Nanna 4, Vinay Varma P 5 HOW TO CITE THIS ARTICLE:
More informationLecture 56 Kidney and Urinary System
Lecture 56 Kidney and Urinary System The adrenal glands are located on the superomedial aspect of the kidney The right diagram shows a picture of the kidney with the abdominal walls and organs removed
More informationSTRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 3. October 17, 2014
STRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 3 October 17, 2014 PART l. Answer in the space provided. (12 pts) 1. Identify the structures. (2 pts) A. B. A B C. D. C D 2. Identify the structures. (2
More informationCase Report Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction
Case Reports in Surgery, Article ID 453128, 4 pages http://dx.doi.org/10.1155/2014/453128 Case Report Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction Mesut Sipahi, 1 Kasim Caglayan,
More informationMing-liang Ji, Yong Qiu, Bang-ping Qian, Wei-jun Wang, Ze-zhang Zhu, Bin Wang, Hua Jiang
Surgical correction of thoracolumbar/lumbar kyphosis secondary to ankylosing spondylitis : its effect on the anatomic relationship between superior mesenteric artery and the aorta Ming-liang Ji, Yong Qiu,
More information1 Right & left Hepatic ducts Gastric Impression of spleen
Pancreatic Model 1 Right & left Hepatic ducts 14 Gastric Impression of spleen 2 Common hepatic duct 15 Renal Impression of spleen 3 Cystic Duct 16 Colic Impression of spleen 4 Common Bile Duct 17 Splenic
More informationThe Egyptian Journal of Radiology and Nuclear Medicine
The Egyptian Journal of Radiology and Nuclear Medicine 48 (2017) 1125 1130 Contents lists available at ScienceDirect The Egyptian Journal of Radiology and Nuclear Medicine journal homepage: www.sciencedirect.com/locate/ejrnm
More informationNo Disclosures. Approach to Abdominal Radiographs
Approach to Abdominal Radiographs Tapas K. Tejura, M.D. Assistant Professor of Clinical Radiology Keck Medical Center of USC tapas.tejura@med.usc.edu No Disclosures 34-year-old male with acute abdominal
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationRadiology Rotation Educational Goals & Objectives for Internal Medicine
Radiology Rotation Educational Goals & Objectives for Internal Medicine Internists provide continuing care for patients with a myriad of medical and psychosocial problems. During many patient encounters,
More informationNeonatal intestinal obstruction: how to make etiological diagnosis?
Neonatal intestinal obstruction: how to make etiological diagnosis? Poster No.: C-1414 Congress: ECR 2013 Type: Educational Exhibit Authors: W. Mnari, M. Zguidi, A. Zrig, M. Maatouk, B. Hmida, R. Salem,
More informationAdults intestinal malrotations: a simple approach to recognize the most frequent types with MDCT
Adults intestinal malrotations: a simple approach to recognize the most frequent types with MDCT Poster No.: C-2484 Congress: ECR 2012 Type: Educational Exhibit Authors: F. Macrì, R. Argirò, B. SACCONI,
More informationCHAPTER 2 Terms Pertaining to the Body as a Whole
CHAPTER 2 Terms Pertaining to the Body as a Whole OBJECTIVES 1. Define terms that apply to the structural organization of the body. 2. Identify the body cavities and the organs contained within the cavities.
More informationMedical application of transabdominal ultrasound in gastrointestinal diseases
Medical application of transabdominal ultrasound in gastrointestinal diseases Hsiu-Po Wang Department of Emergency Medicine National Taiwan University Hospital Real-time ultrasound has become a standard
More informationNeonatal intestinal obstruction: how to make etiological diagnosis?
Neonatal intestinal obstruction: how to make etiological diagnosis? Poster No.: C-1414 Congress: ECR 2013 Type: Educational Exhibit Authors: W. MNARI, M. Zguidi, A. Zrig, M. MAATOUK, B. Hmida, R. Salem,
More informationA Frame of Reference for Anatomical Study. Anatomy and Physiology Mr. Knowles Chapter 1 Liberty Senior High School
A Frame of Reference for Anatomical Study Anatomy and Physiology Mr. Knowles Chapter 1 Liberty Senior High School Anatomical Terms of Direction and Position Created for communicating the direction and
More informationA rare case of intestinal obstruction due to internal hernia. Dr. Jayanth 3 rd year PG Dept. Of General Surgery
A rare case of intestinal obstruction due to internal hernia Dr. Jayanth 3 rd year PG Dept. Of General Surgery One of the common cause of acute abdomen May lead to high morbidity and mortality if not treated
More informationIn the name ofgod. Abdomen 3. Dr. Zahiri
In the name ofgod Abdomen 3 Dr. Zahiri Peritoneum Peritoneum It is the serous membrane(a type of loose connective tissue and is covered by mesothelium) that lines the abdominal cavity. Extensions of the
More informationScanning Mesenteric and Hypogastric Artery Aneurysms
Scanning Mesenteric and Hypogastric Artery Aneurysms Marsha M. Neumyer, BS, RVT, FSVU, FSDMS, FAIUM International Director Vascular Diagnostic Education Services Vascular Resource Associates Harrisburg,
More informationGastrointestinal Pathology. August 2007
Gastrointestinal Pathology August 2007 Case 1 Dysphagia and halitosis Case 1 Dilatation of the oesophagus with a smooth narrowing of its lower end. The large volume of contained fluid indicates delayed
More informationAbdomen and Retroperitoneum Ultrasound Protocols
Abdomen and Retroperitoneum Ultrasound Protocols Reviewed By: Anna Ellermeier, MD Last Reviewed: March 2018 Contact: (866) 761-4200, Option 1 **NOTE for all examinations: 1. If documenting possible flow
More informationVascular Imaging in the Pediatric Abdomen. Jonathan Swanson, MD
Vascular Imaging in the Pediatric Abdomen Jonathan Swanson, MD Goals and Objectives To understand the imaging approach, appearance, and clinical manifestations of the common pediatric abdominal vascular
More informationPeritoneum: Def. : It is a thin serous membrane that lines the walls of the abdominal and pelvic cavities and clothes the viscera.
Peritoneum: Def. : It is a thin serous membrane that lines the walls of the abdominal and pelvic cavities and clothes the viscera. Layers of the peritoneum: 1. Outer Layer ( Parietal Peritoneum) : lines
More informationSpontaneous portosystemic venous shunts in liver cirrhosis: Anatomy, pathophysiology, hemodynamic changes and imaging findings
Spontaneous portosystemic venous shunts in liver cirrhosis: Anatomy, pathophysiology, hemodynamic changes and imaging findings Poster No.: C-3193 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular
More informationHuman Anatomy Key Points Unit 1/ Study Guide
Human Anatomy Key Points Unit 1/ Study Guide I. Anatomy and Physiology a. Anatomy 1. Means cutting apart (dissection) 2. Study of the body and the relationships of its parts to each other. 3. Dissection
More informationGuidelines, Policies and Statements D5 Statement on Abdominal Scanning
Guidelines, Policies and Statements D5 Statement on Abdominal Scanning Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to ensure that this Guideline/Policy/Statement
More informationBlock 3: DISSECTION 2 CELIAC TRUNK, JEJUNUM/ILEUM, LARGE INTESTINE, DUODENUM, PANCREAS, PORTAL VEIN; MOBILIZATION OF THE LIVER
1 Block 3: DISSECTION 2 CELIAC TRUNK, JEJUNUM/ILEUM, LARGE INTESTINE, DUODENUM, PANCREAS, PORTAL VEIN; MOBILIZATION OF THE LIVER Attempt to complete as much as you can of the dissection explained in the
More informationCASE CONFERENCE GASTRIC VOLVULUS PIKOM, MD NONGLUK, MD; RADIOLOGIST
CASE CONFERENCE GASTRIC VOLVULUS PIKOM, MD NONGLUK, MD; RADIOLOGIST IDENTIFICATION DATA ผ ป วยเด กชายไทย อาย 13 ว น เช อชาต ไทย ส ญชาต ไทย ภ ม ล าเนา จ งหว ด อ ท ยธาน เข าร บการร กษาท รพ.มหาว ทยาล ยนเรศวรว
More informationLOOKING FOR AIR IN ALL THE WRONG PLACES Richard M. Gore, MD North Shore University Health System University of Chicago Evanston, IL
SIGNIFICANCE OF EXTRALUMINAL ABDOMINAL GAS: LOOKING FOR AIR IN ALL THE WRONG PLACES Richard M. Gore, MD North Shore University Health System University of Chicago Evanston, IL SCBT/MR 2012 October 26,
More informationSupporting Information Figure S1. Study day diagram. The MRI scans were more frequent for
ASSOCIATED CONTENT Supporting Information. Supporting Information Figure S1. Study day diagram. The MRI scans were more frequent for the first half an hour when gastric emptying was expected to be faster.
More informationThe Physician as Medical Illustrator
The Physician as Medical Illustrator Francois Luks Arlet Kurkchubasche Division of Pediatric Surgery Wednesday, December 9, 2015 Week 5 A good picture is worth a 1,000 bad ones How to illustrate an operation
More informationAbdominal Ultrasound : Aorta, Kidneys, Bladder
Abdominal Ultrasound : Aorta, Kidneys, Bladder Nilam J. Soni, MD, MSc Associate Professor of Medicine Divisions of Hospital Medicine and Pulmonary/Critical Care Medicine Department of Medicine University
More informationFocused Assessment Sonography of Trauma (FAST) Scanning Protocol
Focused Assessment Sonography of Trauma (FAST) Scanning Protocol Romolo Gaspari CHAPTER 3 GOAL OF THE FAST EXAM Demonstrate free fluid in abdomen, pleural space, or pericardial space. EMERGENCY ULTRASOUND
More informationSmall Plicae Circularis. Short Closely packed together. Sparse, completely absent at distal part Lymphoid Nodule
Intestines Differences Between Jejunum and Ileum Types Jejunum Ileum Color Deeper red Paler pink Calibre Bigger Smaller Thickness of wall Thick and Heavy Thin and Lighter Vascularity Highly vascularised
More informationRelationship Between Small Bowel Obstruction and Small Bowel Feces Sign: Four Cases Report
Case Report Elmer Press Relationship Between Small Bowel Obstruction and Small Bowel Feces Sign: Four Cases Report Altintoprak Fatih a, e, Gunduz Yasemin b, Yalkin Omer c, Gundugdu Kemal c, Serbulent Gokhan
More informationA 34 year old woman with Vomiting and abdominal pain
A 34 year old woman with Vomiting and abdominal pain The patient was a 34 y/o woman admitted because of epigastric pain developed from 2 months ago. It was a crampy pain without radiation that became better
More information