Walter Wiesner 1,2 Koenraad J. Mortelé 1 Jonathan N. Glickman 3 Hoon Ji 1 Pablo R. Ros 1
|
|
- Barrie Mathews
- 6 years ago
- Views:
Transcription
1 Walter Wiesner 1,2 Koenraad J. Mortelé 1 Jonathan N. Glickman 3 Hoon Ji 1 Pablo R. Ros 1 Received March 19, 2001; accepted after revision May 31, Department of Radiology, Brigham and Women s Hospital, Harvard Medical School, 75 Francis St., Boston, MA Present address: Institute of Diagnostic Radiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland. Address correspondence to W. Wiesner. 3 Department of Pathology, Brigham and Women s Hospital, Harvard Medical School, Boston, MA AJR 2001;177: X/01/ American Roentgen Ray Society Pneumatosis Intestinalis and Portomesenteric Venous Gas in Intestinal Ischemia: Correlation of CT Findings with Severity of Ischemia and Clinical Outcome OBJECTIVE. The purpose of this study was to analyze the correlation between pneumatosis or portomesenteric venous gas, or both, the severity of mural involvement, and the clinical outcome in patients with small- or large-bowel ischemia. MATERIALS AND METHODS. CT scans of 23 consecutive patients presenting with pneumatosis or portomesenteric venous gas caused by bowel ischemia were reviewed. The presence and extent of both CT findings were compared with the clinical outcome in all patients and with the severity and extent of ischemic bowel wall damage as determined by surgery (15 patients), autopsy (three patients), or follow-up (five patients). RESULTS. Seven patients showed isolated pneumatosis, and 16 patients showed portomesenteric venous gas with or without pneumatosis (11 and five patients, respectively). Pneumatosis and portomesenteric venous gas were associated with transmural bowel infarction in 14 (78%) of 18 patients and 13 (81%) of 16 patients, respectively. Nine patients (56%) with portomesenteric venous gas died. Of seven patients with infarction limited to one bowel segment (jejunum, ileum, or colon), only one patient (14%) died, whereas of the 10 patients with infarction of two or three bowel segments, eight patients (80%) died. CONCLUSION. CT findings of pneumatosis intestinalis and portomesenteric venous gas due to bowel ischemia do not generally allow prediction of transmural bowel infarction, because they may be observed in patients with only partial ischemic bowel wall damage. The clinical outcome of patients with bowel ischemia with these CT findings seems to depend mainly on the severity and extent of their underlying disease. P neumatosis intestinalis and portomesenteric venous gas are impressive, but uncommon, radiologic findings that most commonly develop because of bowel ischemia [1]. The presence of portomesenteric venous gas on radiographs has been associated with a mortality rate of more than 75% in earlier studies [2, 3]. Over the last decade, detection of pneumatosis intestinalis and portomesenteric venous gas has improved because of the use of CT, and therefore, these two processes may be detected in earlier stages [4 7]. Furthermore, pneumatosis and portomesenteric venous gas may also be the result of various nonischemic conditions, including iatrogenic, traumatic, inflammatory, infectious, neoplastic, obstructive, and idiopathic causes, all of which are apparently not associated with an unfavorable outcome [8 17]. Recent articles on pneumatosis or portomesenteric venous gas suggest that the clinical significance of these two CT findings depends on the individual clinical setting in which they are observed [18 22]. However, these articles have included patients in whom portomesenteric gas was caused by certain nonischemic conditions, and to the best of our knowledge, only one study including seven patients has focused exclusively on the clinical outcome of patients in whom portomesenteric venous gas was caused by bowel ischemia [22]. Pneumatosis intestinalis and portomesenteric venous gas are usually discussed separately in the literature, and, to our knowledge, the presence of pneumatosis intestinalis or portomesenteric venous gas has not been compared with the severity of bowel wall damage and with the clinical outcome in patients in whom these findings were exclusively caused by bowel ischemia. Therefore, the purpose of our study was to describe the CT presentation of pneumatosis and portomesenteric venous gas in mesenteric ischemia and to correlate AJR:177, December
2 Wiesner et al. these CT findings with the severity of bowel wall damage and the clinical outcome in 23 consecutive patients. Materials and Methods Patients Between February 1992 and March 2000, 23 consecutive patients presented on CT scans with pneumatosis intestinalis or portomesenteric venous gas, or both, caused by small- or large-bowel ischemia. Patients were identified by searching for key words such as hepatic gas or air, portal gas or air, portal venous gas or air, mesenteric venous gas or air, pneumatosis or intestinal ischemia, bowel ischemia, and bowel infarction in our computer database (IDXRAD; IDX, Burlington, VT). Patients in whom pneumatosis or portomesenteric venous gas was absent or not attributable to bowel ischemia were excluded from our study. Our study population included 16 men and seven women with an age range of years (mean age, 63.4 years). Imaging Technique and Analysis Patients were examined using a Somatom, a Somatom Plus 4, or a Volume Zoom CT scanner (Siemens Medical Systems, Erlangen, Germany). Seven patients underwent contrast-enhanced CT, and 16 patients underwent unenhanced CT. The CT scans were reviewed by two observers in consensus, and the presence or absence of pneumatosis and portomesenteric venous gas was assessed. If pneumatosis was present, it was classified as bubblelike if it consisted only or mainly of isolated bubbles of air in the bowel wall, whereas it was classified as bandlike, if it consisted of continuous bands of air in the affected bowel wall. If both types of pneumatosis were found, the more pronounced (bandlike pattern) was described. If pneumatosis intestinalis was present, it was also classified as involving the small or the large bowel, or both. The amount of portomesenteric gas at CT was assessed semiquantitatively. Portomesenteric venous gas was considered limited if visible mainly as focal gaseous inclusions on certain images, whereas it was considered pronounced if visible as multiple continuous bands of gas on several images. No distinction was made between gas in the mesenteric veins or gas in the intrahepatic branches of the portal vein, because all these findings were indicative of gas in the portomesenteric circulation (Figs. 1 and 2). Correlation Analysis Surgical and pathologic reports on the resected bowel segments were available in 15 patients. These reports were reviewed, and special emphasis was given to the presence or absence of transmural infarction. In 14 of these patients, the operation was performed the same day as CT, and one patient underwent surgery only the following day. Two patients who died the same day and one patient who died the next day underwent autopsy, and in these three patients, the autopsy reports were reviewed. In three patients who died from acute mesenteric infarction the same day as CT was performed, no surgery and no autopsy were performed. However, it could be assumed that they had undergone transmural small-bowel infarction due to their acute and dramatic clinical course. They all died within several hours from abdominal shock, and there was no suspicion of any other cause of death. In these three patients, CT showed pronounced pneumatosis of the jejunum and ileum and also showed extended portomesenteric venous gas. In another two patients, no histopathology was available because these two patients did not undergo surgery. Nevertheless, because they both recovered completely after conservative treatment, transmural bowel infarction could be excluded. On the basis of a combination of the previously mentioned radiologic, surgical, and pathologic findings, the extent of bowel ischemia was assessed semiquantitatively by dividing the entire bowel into three segments (jejunum, ileum, and colon) and by analyzing for each patient how many of these segments were involved by transmural and partial mural ischemia. Finally, all clinical records were reviewed, and the clinical outcome of all patients was compared with the presence of pneumatosis or portomesenteric gas, to the presence of transmural and only partial mural bowel ischemia, and also to the extent of transmural bowel infarction. Results Study Group In our 23 patients, the etiologies of intestinal ischemia included occlusions of visceral arteries by atherosclerosis or athero- or thromboembolism (11 patients), a combination of vasculoocclusive factors and a low flow state (six patients), cardiogenic shock (two patients), occlusions of the mesenteric arteries caused by vasculitis (one patient), thrombotic occlusions of the mesenteric veins caused by a thrombotic thrombocytopenic purpura (one patient), strangulation in small bowel volvulus (one patient), and pronounced prestenotic dilatation of the colon (one patient). Radiologic Findings Seven patients presented with isolated pneumatosis, and 16 patients showed portomesenteric venous gas with (11 patients) or without (five patients) pneumatosis (Fig. 1). In those patients who presented with pneumatosis but with- A B Fig year-old woman with transmural infarction of distal colon. A, Unenhanced CT scan shows intrahepatic portal venous gas in left liver lobe. B, Unenhanced CT scan shows marked wall thickening of infarcted colon (arrows). Note absence of pneumatosis. Patient survived AJR:177, December 2001
3 CT Findings in Intestinal Ischemia Fig year-old woman with only partial mural small-bowel ischemia. Contrast-enhanced CT scan shows bubblelike pneumatosis (arrow) and bandlike pneumatosis (arrowhead) in proximal small bowel and pronounced mesenteric venous gas. Patient survived. out portomesenteric venous gas, pneumatosis was present in the small bowel in three and in the large bowel in four patients. In six of these patients, pneumatosis was bubblelike (Figs. 2 4), whereas in one of these patients pneumatosis was bandlike (Figs. 5 and 6). In those 11 patients who had shown pneumatosis and portomesenteric venous gas, seven patients presented with pneumatosis of their small bowel, one patient showed pneumatosis of the large bowel, and in three patients, pneumatosis was found in both the small and large bowel. In seven patients, pneumatosis was bandlike, whereas in another four patients, pneumatosis was bubblelike. Correlation with Severity of Bowel Ischemia Of all 18 patients who presented with pneumatosis, four showed partial mural bowel ischemia (two of the small bowel and two of the large bowel), and the other 14 patients (78%) showed transmural infarction of their large bowel (three patients), small bowel (eight patients), or both (three patients). Overall bubblelike pneumatosis was associated with transmural bowel infarction in seven (70%) of 10 patients, whereas bandlike pneumatosis was associated with transmural bowel infarction in seven (88%) of eight patients. Of the seven patients who presented with isolated pneumatosis, four patients (57%) showed transmural infarction of their large bowel (two patients) or their small bowel (two patients). The remaining three patients with isolated pneumatosis showed only partial mural ischemia of their small bowel (one patient) or of their large bowel (two patients). In one patient, pneumatosis was bandlike, whereas in the remaining six patients, it was bubblelike. Overall, 13 (81%) of the 16 patients with portomesenteric venous gas showed transmural infarction of their small bowel (six patients), of their large bowel (two patients), or of both small and large bowel (five patients) (Figs. 2, 4, and 5). Three (19%) of 16 patients with portomesenteric venous gas showed only a partial mural ischemia of their large bowel (one patient) and small bowel (two patients). Of the five patients who presented with portomesenteric venous gas, but without pneumatosis, one patient showed transmural infarction of the large bowel and two patients showed transmural infarction of both small and large bowel, whereas the other two patients showed only partial mural ischemia of the large bowel (one patient) or of the small bowel (one patient). Of the 11 patients with portomesenteric venous gas and pneumatosis, all but one showed transmural bowel infarction involving the large bowel (one patient), the small bowel (six patients), or both (three patients). Correlation with Clinical Outcome All patients (n = 6) who showed only partial mural bowel ischemia survived and only patients with transmural bowel infarction died. Fig year-old man with transmural small-bowel infarction. Unenhanced CT scan shows bubblelike pneumatosis in small bowel (arrows), but no mesenteric venous gas. Patient survived. Fig year-old man with only partial mural ischemia of cecum and ascending colon. Unenhanced CT scan shows bubblelike pneumatosis of ascending colon (arrows), but no mesenteric venous gas. Patient survived. AJR:177, December
4 Wiesner et al. Fig year-old man with transmural colonic infarction. Unenhanced CT scan shows bandlike pneumatosis of ascending and transverse colon (arrows), but no portomesenteric venous gas. Patient survived. Overall, of 17 patients with transmural bowel infarction, nine patients (53%) died. Of those seven patients with transmural infarction of one bowel segment, only one patient (14%) died. Nevertheless, of those patients with transmural infarction of two or three bowel segments, five (71%) of seven and three (100%) of three patients died respectively. All seven patients who presented with isolated pneumatosis had ischemia of only one bowel segment, and all these patients survived. Conversely, of 16 patients with portomesenteric venous gas, nine patients (56%) died. Eight of these nine patients had transmural infarction of two or three bowel segments, whereas the remaining patient had transmural bowel infarction involving only one segment. Four patients (25%) with portomesenteric venous gas survived despite transmural infarction of the colon (two patients), of the small bowel (one patient), or of both the small and large bowel (one patient). The remaining three patients (19%) with portomesenteric venous gas also survived, all of whom had only partial mural ischemia of their large bowel (one patient) or small bowel (two patients). Discussion The CT findings of pneumatosis intestinalis and portomesenteric venous gas usually indicate the presence of mesenteric infarction. However, both findings may also be observed occasionally in nonischemic conditions [1 7]. Pneumatosis and portomesenteric venous gas may occur after damage to the gastrointestinal wall caused by infection and inflammation, but also by neoplastic bowel wall damage, ulceration, or overdistention [8, 9]. Besides, portomesenteric venous gas may occur without pneumatosis in cases of mesenteric abscess formation, portal pylephlebitis, sepsis, abdominal trauma and, especially, after gastrointestinal surgery and liver transplantation [9 17]. For these reasons, the presence of pneumatosis intestinalis, and the presence of portomesenteric venous gas should not be always regarded as ominous signs, because they may not be associated with increased mortality rates in some conditions [18 20]. Previously, patients having findings of portomesenteric venous gas on radiographs had a reported mortality rate of 75%; if iatrogenic causes were excluded, this rate was as high as 84%. Thus, the presence of portomesenteric venous gas has been previously indicative of an unfavorable clinical outcome, with a poor prognosis in patients having bowel ischemia [2, 3]. Because portomesenteric venous gas is currently usually detected at CT and not by unenhanced radiographs, the clinical outcome of patients with portal venous gas might have improved because of its earlier detection. Therefore, some more recent articles focused on the clinical impact of portomesenteric venous gas at CT. However, most of these studies represented only case reports including up to seven patients. Similar to one larger study that reported the clinical outcome of 17 patients with portal venous gas, they were not focused on patients with the same cause, but also included patients in whom portomesenteric venous gas was caused by nonischemic conditions [18 21]. Although one recent article reported on Fig year-old man with extended transmural infarction of small and large bowel. Contrast-enhanced CT scan shows bandlike pneumatosis of multiple smallbowel loops and colon and mesenteric venous gas (arrow). Patient died. seven patients in whom portomesenteric venous gas was exclusively caused by intestinal ischemia, to our knowledge, no other study has addressed the question of whether the clinical outcome of these patients might have changed over the last decade [22]. Furthermore, to our knowledge, no one has analyzed whether the presence of pneumatosis intestinalis and portomesenteric venous gas allows prediction of the severity of ischemic bowel wall damage and whether the clinical outcome of patients with bowel ischemia and isolated pneumatosis differs from that of patients who additionally show portomesenteric venous gas at CT. Therefore, we focused our study on both, pneumatosis and portomesenteric venous gas, but exclusively in patients in whom these two CT findings were related to bowel ischemia. In seven of these patients, pneumatosis intestinalis occurred as an isolated finding; in 11 patients, it was combined with portomesenteric venous gas; and in five patients, portomesenteric venous gas occurred as an isolated finding. Pneumatosis intestinalis may logically occur without portomesenteric venous gas in bowel ischemia because accumulation of intramural gas in an ischemic bowel segment does not automatically mean that the intramural gas has also found its way into some mesenteric veins. However, if this scenario develops, portomesenteric venous gas usually occurs as an additional finding with pneumatosis. Nonetheless, even if rare, occasionally after an ischemic damage to the intestinal wall, intraluminal gas may enter the portomesenteric veins directly without producing a radiologically detectable pneumatosis (Fig. 1) AJR:177, December 2001
5 CT Findings in Intestinal Ischemia Overall, pneumatosis was associated with transmural bowel infarction in 78% of patients, and this result shows that pneumatosis intestinalis may occasionally occur in ischemic bowel segments that have not yet undergone transmural infarction. Bubblelike pneumatosis was associated with transmural bowel infarction in only 70% of patients, whereas bandlike pneumatosis was associated with transmural bowel infarction in almost 90% of patients and, therefore, was more specific for a full-thickness necrosis of the affected bowel wall. Overall, portomesenteric venous gas was associated with transmural bowel infarction in 81% of our patients, and pronounced portomesenteric gas was also associated slightly more often with transmural bowel infarction (86%) than mild portomesenteric venous gas (78%) was. However if both CT findings of pneumatosis and portomesenteric venous gas were seen, their presence was associated with transmural bowel infarction in 91% of patients, regardless of their aspect and extent. Our results show that pneumatosis and portomesenteric venous gas may occasionally be found even in patients with only partial mural bowel ischemia. Therefore, neither pneumatosis nor portomesenteric venous gas differentiate transmural bowel infarction and only partial mural bowel ischemia, if they are encountered as mild and isolated findings. However, transmural infarction of the affected bowel becomes likely if pneumatosis is pronounced and bandlike, and, especially, if it is combined with portomesenteric venous gas. All our patients with isolated pneumatosis survived, but these results are surely influenced by the fact that in all these seven patients, bowel ischemia or bowel infarction involved only one bowel segment. Overall, pneumatosis was associated with a mortality rate of 44%, and portomesenteric venous gas was associated with a mortality rate of 56%. In those patients who showed portomesenteric venous gas and pneumatosis at CT, the mortality rate increased to 72%. However, only patients with transmural bowel infarction died, and there was a clear difference in the mortality rate in patients in whom transmural infarction involved only one bowel segment (14%) and in the mortality rate in patients in whom bowel infarction involved two (71%) or three bowel segments (100%). These results support the theory that it is not only the severity of bowel ischemia and the presence of a full-thickness bowel wall necrosis but also the extent of transmural bowel infarction that mainly determine the clinical outcome of affected patients. The clinical outcome of patients with intestinal ischemia also depends on the time delay between diagnosis and surgical exploration. By using CT, pneumatosis and portomesenteric venous gas may be detected earlier and in less pronounced stages than by using radiography, and besides some improvements in intensive care medicine, this may be the most important reason why the presence of portomesenteric venous gas in our study was not associated with the same high mortality rate as that reported in the late 1970s and 1980s. One may, however, argue that the CT finding of portomesenteric venous gas is associated with a mortality rate of 56% in bowel ischemia and that it, therefore, has not yet completely lost its ominous character in these high-risk patients over the last decade. However, this correlation is presumably only indirect and not causative because the clinical outcome of affected patients seems to depend mainly on the presence and extent of transmural bowel infarction. Nevertheless, because it is still possible that portomesenteric venous gas additionally worsens the already bad prognosis of patients with transmural bowel infarction, future studies will be needed to prove if patients with bowel infarction and portomesenteric venous gas have a higher mortality rate compared with patients with similar severity and extent of bowel ischemia but without portomesenteric venous gas. In conclusion, bandlike pneumatosis and the combination of pneumatosis and portomesenteric venous gas at CT are highly associated with transmural bowel infarction. On the other hand, bubblelike pneumatosis and isolated portomesenteric gas may be related to only partial mural bowel ischemia in approximately one third of cases. Furthermore, although in bowel ischemia, the presence of portomesenteric venous gas at CT is associated with a mortality rate of 56%, this association is presumably only indirect. Therefore, the ominous character of this CT finding seems to be justified only in patients with extended transmural bowel infarction, and their clinical outcome seems to depend mainly on the severity and extent of their underlying disease. References 1. Schulze CG, Blum U, Haag K. Hepatic portal venous gas: imaging modalities and clinical significance. Acta Radiol 1995;36: Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg 1978;187: Griffiths DM, Gough MH. Gas in the hepatic portal veins. Br J Surg 1986;73: Smerud MJ, Johnson CD, Stephens DH. Diagnosis of bowel infarction: a comparison of plain films and CT scans in 23 cases. AJR 1990;154: Alpern MB, Glazer GM, Francis IR. Ischemic or infarcted bowel: CT findings. Radiology 1988;166: Kelvin FM, Korobkin M, Rauch RF, Rice RP, Silverman PM. Computed tomography of pneumatosis intestinalis. J Comput Assist Tomogr 1984;8: Connor R, Jones B, Fishman EK, Siegelman SS. Pneumatosis intestinalis: role of computed tomography in diagnosis and treatment. J Comput Assist Tomogr 1984;8: Feczko PJ, Mezwa DG, Farah MC, White BD. Clinical significance of pneumatosis of the bowel wall. RadioGraphics 1992;12: Sebastia C, Quiroga S, Espin E, Boye R, Alvarez- Castells A, Armengol M. Portomesenteric vein gas: pathologic mechanism, CT findings and prognosis. RadioGraphics 2000;20: Zhang D, Weltman D, Baykal A. Portal vein gas and colonic pneumatosis after enema, with spontaneous resolution. AJR 1999;173: Quirke TE. Hepatic-portal venous gas associated with ileus. Am Surg 1995;61: Zielke A, Hasse C, Nies C, Rothmund M. Hepatic-portal venous gas in acute colonic diverticulitis. Surg Endosc 1999;32: Gurland B, Dolgin SE, Shlasko E, Kim U. Pneumatosis intestinalis and portal vein gas after blunt abdominal trauma. J Pediatr Surg 1998;3: Brown MA, Hauschildt JP, Casola G, Gosink BB, Hoyt DB. Intravascular gas as an incidental finding at US after blunt abdominal trauma. Radiology 1999;210: Wakisaka M, Mori H, Kiyosue H, Kamegawa T, Uragami S. Septic thrombosis of the portal vein due to peripancreatic ligamental abscess. Eur Radiol 1999;9: Mallens WM, Schepers-Bok R, Nicolai JJ, Jakobs FA, Heyerman HGM. Portal and systemic venous gas in a patient with cystic fibrosis: CT findings. AJR 1995;165: Chezmar JL, Nelson RC, Bernardino ME. Portal venous gas after hepatic transplantation: sonographic detection and clinical significance. AJR 1989;153: Muscari F, Suc B, Lagarrigue J. Hepatic portal venous gas: is it always a sign of severity and surgical emergency [in French]? Chirurgie 1999; 124: Scheidler J, Stabler A, Kleber G, Neidhardt D. Computed tomography in pneumatosis intestinalis: differential diagnosis and therapeutic consequences. Abdom Imaging 1995;20: Hong JJ, Gadaleta D, Rossi P, Esquivel J, Davis JM. Portal vein gas, a changing clinical entity: report of 7 patients and review of the literature. Arch Surg 1997;132: Faberman RS, Mayo-Smith WW. Outcome of 17 patients with portal venous gas detected by CT. AJR 1997;169: Monneuse O, Gruner L, Henry L, et al. Hepatic portal venous gas. Ann Chir 2000;125: AJR:177, December
Detection of hepatic portal venous gas: its clinical impact and outcome
Emerg Radiol (2006) 12: 164 170 DOI 10.1007/s10140-006-0467-y ORIGINAL ARTICLE Sebastian T. Schindera. Juergen Triller. Peter Vock. Hanno Hoppe Detection of hepatic portal venous gas: its clinical impact
More informationPortal Venous Gas SUNY Downstate Medical Center Department of Surgery. Jacob Eisdorfer, DO 6/9/2011
SUNY Downstate Medical Center Department of Surgery Jacob Eisdorfer, DO 6/9/2011 Case 56 y/o M presented to ER c/o severe Abd Pain, N/V x 4days PMHx: HIV, HTNHep C, COPD, renal insufficiency VS: 98.7;
More informationPneumatosis intestinalis, not always a surgical emergency
Pneumatosis intestinalis, not always a surgical emergency Poster No.: C-2233 Congress: ECR 2012 Type: Educational Exhibit Authors: E. Vanhoutte, M. Lefere, R. Vanslembrouck, D. Bielen, G. De 1 1 2 1 1
More informationHepatic Portal Venous Gas: An Ominous Sign Of Abdominal Catastrophe In A Blunt Abdominal Trauma Scenario. A Case Report
ISPUB.COM The Internet Journal of Surgery Volume 25 Number 1 Hepatic Portal Venous Gas: An Ominous Sign Of Abdominal Catastrophe In A Blunt Abdominal Trauma D BV, B P., S P., S BP., S B. Citation D BV,
More informationCT imaging findings of acute mesenteric ischemia and ischemic colitis. A brief pictorial essay.
CT imaging findings of acute mesenteric ischemia and ischemic colitis. A brief pictorial essay. Poster No.: C-0750 Congress: ECR 2011 Type: Educational Exhibit Authors: Y. Arias Morales, J. P. Giraldo
More informationHepatic Portal Venous Gas and. Pneumatosis Intestinalis in A Uremic. Patient with Continuous Ambulatory. Peritoneal Dialysis
2007 18 146-151 Hepatic Portal Venous Gas and Pneumatosis Intestinalis in A Uremic Patient with Continuous Ambulatory Peritoneal Dialysis Chih-Hsiung Chen 1, Tz-Hau Huang 2, Chin-Ming Chen 3, Kuo-Chen
More informationNecrotizing Enterocolitis: the role of ultrasound in the assessment of bowel viability
Necrotizing Enterocolitis: the role of ultrasound in the assessment of bowel viability Ricardo Faingold, MD. Department of Medical Imaging The Montreal Children s Hospital McGill University SPR Vancouver
More informationPathogenic mechanisms of intestinal pneumatosis and portal venous gas: should patients with these conditions be operated immediately?
Mitsuyoshi et al. Surgical Case Reports (2015) 1:104 DOI 10.1186/s40792-015-0104-7 CASE REPORT Pathogenic mechanisms of intestinal pneumatosis and portal venous gas: should patients with these conditions
More information1. Department of Radiology, Kuwait Hospital, Sharjah, United Arab Emirates
Case report: Portal and systemic venous gas in a patient with perforated duodenal ulcer: Maged Nassef Abdalla Fam 1*, Khaled Mostafa Elgharib Attia 1, Safaa Maged Fathelbab Khalil 2 1. Department of Radiology,
More informationTraumatic and Non Traumatic Adrenal Emergencies
Traumatic and Non Traumatic Adrenal Emergencies Michael N. Patlas, MD, FRCPC (1), Christine O. Menias, MD (2), Douglas S. Katz, MD, FACR (3), Ania Z. Kielar, MD, FRCPC (4), Alla M. Rozenblit, MD (5), Jorge
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 informationPneumatosis Intestinalis: when to worry?
Pneumatosis Intestinalis: when to worry? Poster No.: C-1441 Congress: ECR 2013 Type: Educational Exhibit Authors: F. Rego Costa, C. Maciel, C. Esteves, L. Melão; Porto/PT Keywords: Gastrointestinal tract,
More informationClinical outcomes in surgical and non-surgical management of hepatic portal venous gas
Korean J Hepatobiliary Pancreat Surg 215;19:181-187 http://dx.doi.org/1.1471/kjhbps.215.19.4.181 Original Article Clinical outcomes in surgical and non-surgical management of hepatic portal venous gas
More informationNordic Forum - Trauma & Emergency Radiology. Bowel Obstruction: Imaging Update
Nordic Forum - Trauma & Emergency Radiology Bowel Obstruction: Imaging Update Borut Marincek Institute of Diagnostic Radiology University Hospital Zurich, Switzerland Acute Abdomen Bowel Obstruction Bowel
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 informationENTEROCOLITIDES CAN YOU TELL THEM APART ON MDCT? Richard M. Gore, MD North Shore University Medical Center University of Chicago Evanston, Illinois
ENTEROCOLITIDES CAN YOU TELL THEM APART ON MDCT? Richard M. Gore, MD North Shore University Medical Center University of Chicago Evanston, Illinois SCBT/MR 2010 San Diego, California March 8, 2010 13:40-14:00
More informationEmergency radiology of the large-bowel: What radiologists should know
Emergency radiology of the large-bowel: What radiologists should know Poster No.: C-1659 Congress: ECR 2016 Type: Educational Exhibit Authors: A. Falkowski, D. Boll; Basle/CH Keywords: Colon, Emergency,
More informationAcute mesenteric ischemia: CT findings
Acute mesenteric ischemia: CT findings Poster No.: C-3096 Congress: ECR 2018 Type: Educational Exhibit Authors: P. G. Oliveira, C. Ferreira, M. Cruz, C. Ruivo, L. Curvo Semedo, J. Ilharco, F. Caseiro Alves;
More informationACUTE PANCREATITIS: NEW CLASSIFICATION OF AN OLD FOE. T Barrow, A Nasrullah, S Liong, V Rudralingam, S A Sukumar
ACUTE PANCREATITIS: NEW CLASSIFICATION OF AN OLD FOE T Barrow, A Nasrullah, S Liong, V Rudralingam, S A Sukumar LEARNING OBJECTIVES q Through a series of cases illustrate the updated Atlanta symposium
More informationSMALL BOWEL ISCHEMIA CAUSED BY STRANGULATION IN COMPLICATED SMALL BOWEL OBSTRUCTION. CT FINDINGS IN 20 CASES WITH HISTO - PATHOLOGICAL CORRELATION
JBR BTR, 2011, 94: 309-314. SMALL BOWEL ISCHEMIA CAUSED BY STRANGULATION IN COMPLICATED SMALL BOWEL OBSTRUCTION. CT FINDINGS IN 20 CASES WITH HISTO - PATHOLOGICAL CORRELATION W. Wiesner 1, K. Mortele 2
More informationRole of imaging in the evaluation of the acute abdomen
Prof. András Palkó MD, PhD Role of imaging in the evaluation of the acute abdomen Faculty of General Medicine University of Szeged Hungary 1 Definition Sudden onset of severe symptoms requiring emergency
More informationComputed tomography (CT) imaging review of small bowel obstruction
Computed tomography (CT) imaging review of small bowel obstruction Poster No.: C-1602 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract Authors: A. Vousough, D. S. Prasad ; Aberdeen/UK, Leeds/UK
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 informationComputed tomography (CT) imaging review of small bowel obstruction
Computed tomography (CT) imaging review of small bowel obstruction Poster No.: C-1602 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract - Small Bowel Authors: A. Vousough, D. S. Prasad ; Aberdeen/UK,
More informationFig year-old man with aortic dissection. Contrast-enhanced
Pictorial Essay CT Manifestations of owel Ischemia Chung Kuao Chou 1 owel ischemia represents a process of insufficient blood supply of the small or large bowel with the consequences ranging from a transient,
More informationThe Prognostic Value of Portal Venous Gas on CT: An Analysis of Six Cases
The Prognostic Value of Portal Venous Gas on CT: An Analysis of Six Cases Poster No.: C-1759 Congress: ECR 2015 Type: Educational Exhibit Authors: T. P. Howard, S. Pittman, R. Gullipalli, A. Hartery ;
More informationPosterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction
Posterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction Scott Lenobel 1*, Robert Lenobel 2, Joseph Yu 1 1. Department of Radiology, The Ohio State University Wexner Medical Center,
More informationFig. 1. Ileal and jejunal metastases from adenocarcinoma of the lung in 62-year-old male with a clinical history of bloody stool. A.
507 A B Fig. 1. Ileal and jejunal metastases from adenocarcinoma of the lung in 62-year-old male with a clinical history of bloody stool. A. An intraluminal polypoid mass (arrow) is seen in the dilated
More informationSmall Intestine Bezoar: Computed Tomography Appearance
Chin J Radiol 2001; 26: 197-202 197 ORIGINAL ARTICLE Small Intestine Bezoar: Computed Tomography Appearance KUNG-SHIH YING SHIN-HWA WU TAI-YU CHANG CHUNG-HSEIN LEE Department of Radiology, Cheng Ching
More informationGeneral Data. 王 X 村 78 y/o 男性
General Data 王 X 村 78 y/o 男性 Chief Complaint Vomiting twice this early morning Fever up to 38.9ºC was noted Present Illness (1) Old CVA with left side weakness for more than 10 years and with bed ridden
More informationPneumatosis intestinalis after adult living donor liver transplantation: report of three cases and collective literature review
Korean J Hepatobiliary Pancreat Surg 2015;19:25-29 http://dx.doi.org/10.14701/kjhbps.2015.19.1.25 Original Article Pneumatosis intestinalis after adult living donor liver transplantation: report of three
More informationThe Frequency and Significance of Small (15 mm) Hepatic Lesions Detected by CT
535 Elizabeth C. Jones1 Judith L. Chezmar Rendon C. Nelson Michael E. Bernardino Received July 22, 1991 ; accepted after revision October 16, 1991. Presented atthe annual meeting ofthe American Aoentgen
More informationIntermittent hepatic portal vein gas complicating diverticulitis a case report and literature review
Int J Colorectal Dis (2007) 22:1395 1399 DOI 10.1007/s00384-007-0346-3 CASE REPORT Intermittent hepatic portal vein gas complicating diverticulitis a case report and literature review Franz Sellner & Babak
More informationMDCT Features of Angiotensin- Converting Enzyme Inhibitor Induced Visceral Angioedema
Gastrointestinal Imaging Pictorial Essay Vallurupalli and Coakley MDCT of Visceral ngioedema Gastrointestinal Imaging Pictorial Essay Kalyani Vallurupalli 1 Kevin J. Coakley 2 Vallurupalli K, Coakley KJ
More informationImaging abdominal vascular emergencies. V.Stoynova
Imaging abdominal vascular emergencies V.Stoynova Abdominal vessels V. Stoynova 2 Acute liver bleeding trauma anticoagulant therapy liver disease : HCC, adenoma, meta, FNH, Hemangioma Diagnosis :CT angiography
More informationSmall-bowel obstruction due to bezoar: CT diagnosis and characterization
Small-bowel obstruction due to bezoar: CT diagnosis and characterization Poster No.: C-1450 Congress: ECR 2013 Type: Scientific Exhibit Authors: I. lópez blasco, S. Paz Maya, R. Dosdá Muñoz, D. Soriano
More informationUltrasonographic differentiation of bezoar from feces in small bowel obstruction
Ultrasonographic differentiation of bezoar from feces in small bowel obstruction Kyung Hoon Lee 1, Hyun Young Han 1, Hee Jin Kim 1, Hee Kyung Kim 1, Moon Soo Lee 2 Departments of 1 Radiology and 2 Surgery,
More informationCT Evaluation of Bowel Wall Thickening. Dr: Adel El Badrawy; M.D. Lecturer of Radio Diagnosis Faculty of Medicine Mansoura University.
CT Evaluation of Bowel Wall Thickening By Dr: Adel El Badrawy; M.D. Lecturer of Radio Diagnosis Faculty of Medicine Mansoura University. The CT findings of bowel wall thickening includes 1 Degree of thickening.
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 informationSummary and conclusions
Summary and conclusions 7 Chapter 7 68 Summary and conclusions Chapter 1 provides a general introduction to this thesis focused on the use of ultrasound (US) in children with abdominal problems. The literature
More informationOriginal Report. Stercoral Colitis Leading to Fatal Peritonitis: CT Findings. Gastrointestinal Imaging Heffernan et al. CT of Stercoral Colitis
Gastrointestinal Imaging Heffernan et al. CT of Stercoral Colitis Cathleen Heffernan 1 H. Leon Pachter 2 lec J. Megibow 1 Michael Macari 1 Hefferman C, Pachter HL, Megibow J, Macari M Received pril 21,
More informationPneumatosis Intestinalis and Pneumoperitoneum After Bilateral Lung Transplantation in Adults
Gastrointestinal Imaging Original Research Thompson et al. Pneumatosis Intestinalis and After Lung Transplantation Gastrointestinal Imaging Original Research William M. Thompson 1,2 Lisa Ho 1 Carlos Marroquin
More informationAdult Intussusception: A Complication of Metastatic Melanoma or Primary Malignancy?
January 2013 Adult Intussusception: A Complication of Metastatic Melanoma or Primary Malignancy? Johanna Sheu, Harvard Medical School Year III 1 Agenda Menu of tests Definition/anatomy/classification Pediatrics
More informationSurgical decision making in NEC
Surgical decision making in NEC (the role of ultrasound) Nigel Hall Associate Professor of Paediatric Surgery University of Southampton Consultant Paediatric and Neonatal Surgeon Southampton Children s
More informationISPUB.COM. Pneumatosis Cystoids Intestinalis in an Immunosuppressed Patient. M Hamodat, S Ryan, A Pirzada INTRODUCTION CASE REPORT
ISPUB.COM The Internet Journal of Laboratory Medicine Volume 3 Number 2 Pneumatosis Cystoids Intestinalis in an Immunosuppressed Patient M Hamodat, S Ryan, A Pirzada Citation M Hamodat, S Ryan, A Pirzada..
More informationOPEN ACCESS TEXTBOOK OF GENERAL SURGERY
OPEN ACCESS TEXTBOOK OF GENERAL SURGERY MESENTERIC ISCHAEMIA P Zwanepoel INTRODUCTION Mesenteric ischaemia results from hypoperfusion of the gut, most commonly due to occlusion, thrombosis or vasospasm.
More informationHelical CT Signs in the Diagnosis of Intestinal Ischemia in Small-Bowel Obstruction
Marc Zalcman 1 Marième Sy 1 Vincent Donckier 2 Jean Closset 2 Daniel Van Gansbeke 1 Received February 17, 2000; accepted after revision May 25, 2000. 1 Department of Radiology, C. U.. Hôpital Erasme, 808,
More informationCT Findings of Sigmoid Volvulus
Gastrointestinal Imaging Original Research Levsky et al. CT of Sigmoid Volvulus Gastrointestinal Imaging Original Research Jeffrey M. Levsky 1 Elana I. Den Ronelle A. DuBrow Ellen L. Wolf Alla M. Rozenblit
More informationA case of hepatic portal venous gas: When time is gold
www.edoriumjournals.com CLINICAL IMAGE PEER REVIEWED OPEN ACCESS A case of hepatic portal venous gas: When time is gold Orlando Artavia, Ahmed Zedan ABSTRACT Abstract is not required for Clinical Images
More information... Inflammatory disorder of the colon that occurs as a complication of antibiotic treatment.
Definition Inflammatory disorder of the colon that occurs as a complication of antibiotic treatment. " Epidemiology Humans represent the main reservoir of Clostridium difficile, which is not part of the
More informationCase Report Vomiting-Induced Gastric Emphysema and Hepatoportal Venous Gas: A Case Report and Review of the Literature
Case Reports in Medicine Volume 2015, Article ID 413230, 4 pages http://dx.doi.org/10.1155/2015/413230 Case Report Vomiting-Induced Gastric Emphysema and Hepatoportal Venous Gas: A Case Report and Review
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 informationThe Value of Urgent Barium Enema and Computed Tomography in Acute Malignant Colonic Obstruction: Is Urgent Barium Enema Still Necessary?
J Radiol Sci 2012; 37: 105-110 The Value of Urgent Barium Enema and Computed Tomography in Acute Malignant Colonic Obstruction: Is Urgent Barium Enema Still Necessary? Chun-Chao Huang 1,2 Fei-Shih Yang
More informationAcute abdominal venous thromboses- the hyperdense noncontrast CT sign
Acute abdominal venous thromboses- the hyperdense noncontrast CT sign Poster No.: C-1095 Congress: ECR 2011 Type: Educational Exhibit Authors: M. Goldstein, K. Jhaveri; Toronto, ON/CA Keywords: Abdomen,
More informationCecal Volvulus: Case Presentation and Review of CT Findings
August 2011 Cecal Volvulus: Case Presentation and Review of CT Findings Omar Pardesi, Harvard Medical School Year III Our Patient LD: History & Physical HPI: 28 y.o. female presents with diffuse abdominal
More informationPerforation of a Duodenal Diverticulum. Elective Student S. C.
Perforation of a Duodenal Diverticulum 2008 4 Elective Student S. C. Case History An elderly male presented to the Emergency Department with abdominal pain. Chief Complaint: Worsening, diffuse abdominal
More informationDiagnosis of uncomplicated stercoral colitis: CT findings
Diagnosis of uncomplicated stercoral colitis: CT findings Poster No.: C-404 Congress: ECR 2009 Type: Educational Exhibit Topic: Abdominal and Gastrointestinal Authors: A. Linda 1, J. Heiken 2 ; 1 Udine/IT,
More informationClearing the mind before the "caliber change": Diagnostic algorithm for small bowel obstruction.
Clearing the mind before the "caliber change": Diagnostic algorithm for small bowel obstruction. Poster No.: C-0255 Congress: ECR 2014 Type: Educational Exhibit Authors: C. Santos Montón, D. Oquillas Izquierdo,
More informationAdult bowel obstruction with acute abdomen: spectrum of CT findings
Adult bowel obstruction with acute abdomen: spectrum of CT findings Poster No.: C-1571 Congress: ECR 2013 Type: Educational Exhibit Authors: L. Turturici, G. Gherarducci, F. Bianchi, R. Pascale, M. Tonerini,
More informationSpontaneous perforation of the colon: CT findings and clinical characteristics
Spontaneous perforation of the colon: CT findings and clinical characteristics Poster No.: C-0724 Congress: ECR 2012 Type: Scientific Exhibit Authors: H. Cho, H. Y. Han, T. J. Chun, I. K. Yu ; Daejon/KR,
More informationIntraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis
Intraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis Poster No.: C-978 Congress: ECR 202 Type: Scientific Exhibit Authors: D. Plata Ariza, E. MARTINEZ CHAMORRO, J.
More informationUtility of CT enterography in the evaluation of small bowel pathologies
International Journal of Advances in Medicine Varma RU et al. Int J Adv Med. 2017 Oct;4(5):1328-1332 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20174190
More informationHEPATIC PORTAL venous
ORIGINAL ARTICLE Clinical Features and Management of Hepatic Portal Venous Gas Four Case Reports and Cumulative Review of the Literature Hiroyuki Kinoshita, MD; Masahiro Shinozaki, MD; Hiroshi Tanimura,
More informationAbdominal Complications After Bone Marrow Transplantation in Children: Sonographic and CT Findings
1023 Pictorial Essay Abdominal Complications After Bone Marrow Transplantation in Children: Sonographic and CT Findings Ellen C. Benya,1 2 Carlos J. Sivit, 2 and Ralph R. Quinones2 3 Bone marrow transplantation
More informationAbdominal compartment syndrome: radiological signs
Abdominal compartment syndrome: radiological signs Poster No.: C-0903 Congress: ECR 2011 Type: Scientific Exhibit Authors: R. Ignarra, C. Acampora, R. MAZZEO, C. muzj, L. Romano ; 1 1 2 2 3 3 1 4 4 napoli/it,
More informationThe "whirl sign". Diagnostic accuracy for intestinal volvulus.
The "whirl sign". Diagnostic accuracy for intestinal volvulus. Poster No.: C-0670 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Pire, M. Marti, A. Borobia, A. Verón; Madrid/ES Keywords: Abdomen,
More informationVisceral Artery Aneurysms Endovascular vs. Open?
Disclosures Visceral Artery Aneurysms Endovascular vs. Open? John S. Lane III, MD Professor and Acting Chief of Vascular Surgery UC San Diego, Department of Surgery None relevant UCSF Vascular Symposium,
More informationCT staging in sigmoid diverticulitis
CT staging in sigmoid diverticulitis Poster No.: C-1503 Congress: ECR 2012 Type: Scientific Paper Authors: M. Buchberger, B. von Rahden, J. Schmid, W. Kenn, C.-T. Germer, D. Hahn; Würzburg/DE Keywords:
More informationBowel perforation is seen in 12 to 31% of neonates
Use of Ultrasound in the Detection of Occult owel Perforation in Neonates Stephen F. Miller, MD, Joanna J. Seibert, MD, David L. Kinder, SRT, ROMS, lyson R. Wilson, SRT, ROMS Intestinal perforation is
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 informationelical CT plays an important role
bdominal Imaging Yu et al. Helical CT of cute RLQ Pain Pictorial Essay Jinxing Yu 1 nn S. Fulcher Mary nn Turner Robert. Halvorsen Yu J, Fulcher S, Turner M, Halvorsen R Helical CT Evaluation of cute Right
More informationImaging Features of Encapsulating Peritoneal Sclerosis in Continuous Ambulatory Peritoneal Dialysis Patients
Genitourinary Imaging Pictorial Essay Ti et al. Encapsulating Peritoneal Sclerosis in CPD Patients Genitourinary Imaging Pictorial Essay Joanna P. Ti 1 li l-radi 2 Peter J. Conlon 2 Michael J. Lee 1 Martina
More informationThe Occurrence of a Pseudoaneurysm of the Hepatic Artery within the Thrombosed Portal Vein of a Patient with Chronic Pancreatitis: A Case Report 1
The Occurrence of a Pseudoaneurysm of the Hepatic Artery within the Thrombosed Portal Vein of a Patient with Chronic Pancreatitis: A Case Report 1 Eun Soo Kim, M.D., Kyung Mi Jang, M.D., Min-Jeong Kim,
More informationGallstone ileus:diagnostic and therapeutic dilemma
Saurabh et al. 1 CASE SERIES OPEN ACCESS Gallstone ileus:diagnostic and therapeutic dilemma Shireesh Saurabh, Andrew Camerota, Jeffrey Zavotsky ABSTRACT Introduction: Gallstone ileus is a rare complication
More informationPathology of Intestinal Obstruction. Dr. M. Madhavan, MBBS., MD., MIAC, Professor of Pathology Saveetha Medical College
Pathology of Intestinal Obstruction Dr. M. Madhavan, MBBS., MD., MIAC, Professor of Pathology Saveetha Medical College Pathology of Intestinal Obstruction Objectives list the causes of intestinal obstruction
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 informationINTRALUMINAL GAS IN NON-PERFORATED ACUTE APPENDICITIS: A predictor of gangrenous appendicitis
INTRALUMINAL GAS IN NON-PERFORATED ACUTE APPENDICITIS: A predictor of gangrenous appendicitis DM Plata Ariza, MD; E Martínez Chamorro, MD; D Castaño Pardo, MD; M Arroyo López, MD; E Peghini Gavilanes,
More informationWorld Journal of Colorectal Surgery
World Journal of Colorectal Surgery Volume 3, Issue 2 2013 Article 18 Revenge of the Christmas Turkey; Unusual Presentation of Colonic Perforation Secondary to Foreign Body. Mashuk Khan Sudeep Thomas Warwick
More informationJMSCR Vol 06 Issue 03 Page March 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i3.142 Clinical Factors Affecting Outcome
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 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 informationIntestinal Ischemia Versus Intramural Hemorrhage: CT Evaluation
Michael Macari 1 Hersch Chandarana Emil althazar James abb Received March 27, 2002; accepted after revision July 11, 2002. 1 ll authors: Department of Radiology, bdominal Imaging Section, Tisch Hospital,
More informationEmergency MDCT in case of right lower quadrant pain
Emergency MDCT in case of right lower quadrant pain Poster No.: C-0563 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Lisitskaya, V. Sinitsyn; Moscow/RU Keywords: Abdomen, Emergency, Gastrointestinal
More informationCase Internal herniation with bowel ischemia after Roux-en-Y gastric bypass surgery.
Case 14127 Internal herniation with bowel ischemia after Roux-en-Y gastric bypass surgery. Peters B 1, 2, Waked K 3, Vanhoenacker FM 1, 2, 4, Ceulemans J 5, Mespreuve M 2, 4 University Hospital Antwerp,
More informationAdult Intussusception
Bahrain Medical Bulletin, Vol. 27, No. 3, September 2005 Adult Intussusception Suhair Alsaad, MBCHB, CABS, FRCSI* Mariam Al-Muftah, MBCHB** Objectives: Adult intussusception is a rare entity. We present
More informationPitfalls in the CT diagnosis of appendicitis
The British Journal of Radiology, 77 (2004), 792 799 DOI: 10.1259/bjr/95663370 E 2004 The British Institute of Radiology Pictorial review Pitfalls in the CT diagnosis of appendicitis 1 C D LEVINE, 2 O
More informationAbdominal extra-luminal gas - Is it always gastrointestinal perforation?
Abdominal extra-luminal gas - Is it always gastrointestinal perforation? Poster No.: C-2526 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Barros, L. A. Ferreira, I. Abreu, F. Caseiro Alves;
More informationCT evaluation of small bowel carcinoid tumors
CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT
More informationJournal of Medical Imaging and Radiation Oncology
Journal of Medical Imaging and Radiation Oncology 62 (2018) 504 511 MEDICAL IMAGING PICTORIAL ESSAY Imaging in pancreas transplantation complications: Temporal classification Paula Gallego Ferrero and
More informationMohamed EL-hemaly Gastro- intestinal surgical center, Mansoura University.
Mohamed EL-hemaly Gastro- intestinal surgical center, Mansoura University. Chronic transmural inflammatory process of the bowel & affects any part of the gastro -intestinal tract from the mouth to the
More informationA case of cecal volvulus in a cerebral palsy patient: Usefulness of multidetector computed tomography for preoperative diagnosis
Kawasaki Medical Journal 38(4):205-209,2012 205 A case of cecal volvulus in a cerebral palsy patient: Usefulness of multidetector computed tomography for preoperative diagnosis Yusuke MATSUI 1), Munenori
More informationImprovement of Image Quality with ß-Blocker Premedication on ECG-Gated 16-MDCT Coronary Angiography
16-MDCT Coronary Angiography Shim et al. 16-MDCT Coronary Angiography Sung Shine Shim 1 Yookyung Kim Soo Mee Lim Received December 1, 2003; accepted after revision June 1, 2004. 1 All authors: Department
More informationVisceral aneurysm. Diagnosis and Interventions M.NEDEVSKA
Visceral aneurysm Diagnosis and Interventions M.NEDEVSKA History 1953 De Bakeyand Cooley Visceral aneurysm VAAs rare, reported incidence of 0.01 to 0.2% on routine autopsies. Clinically important Potentially
More informationX-ray Corner. Imaging of The Colon. Pantongrag-Brown L
110 Imaging of The Colon X-ray Corner Imaging of The Colon Pantongrag-Brown L Imaging modalities used in colon include plain radiographs, barium enema, US, CT, PET CT and MRI. Barium enema (BE) is declining
More informationAbdominal air is it in the right or in the wrong place?
Abdominal air is it in the right or in the wrong place? Poster No.: C-1866 Congress: ECR 2014 Type: Educational Exhibit Authors: M. Drake Perez, M. Diez Blanco, E. Lopez Uzquiza, S. Sánchez 1 1 1 1 2 3
More informationThe role of abdominal X-rays in the investigation of suspected acute appendicitis
Journal of Medicine and Medical Sciences Vol. 2(11) pp. 1216-1220, November 2011 Available online@ http://www.interesjournals.org/jmms Copyright 2011 International Research Journals Full Length Research
More informationThe Questionable Utility of Oral Contrast for the Patient with Abdominal Pain in the Emergency Department
The Questionable Utility of Oral Contrast for the Patient with Abdominal Pain in the Emergency Department Jonathan Rakofsky, MD PGY3 Henry Ford Hospital Emergency Medicine Program December 2014 All patients
More informationWorld Journal of Colorectal Surgery
World Journal of Colorectal Surgery Volume 3, Issue 4 2013 Article 6 Case report: Intussusception of the colon through a colostomy: A rare presentation of colonic intussusception. Dr. Nora Trabulsi Dr.
More informationUncommon conditions in surgical oncology: acute abdomen caused by ileocolic intussusception
Case Report Uncommon conditions in surgical oncology: acute abdomen caused by ileocolic intussusception Karl Mrak Department of Surgery, Brothers of Mercy Hospital, St. Veit, Glan, Austria Correspondence
More information