Articles

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1,465 results found
Article

Ascites

Ascites (hydroperitoneum is a rare synonym) is defined as an abnormal amount of intraperitoneal fluid. Terminology Ascites (plural is the same word) tends to be reserved for relatively sizable amounts of peritoneal fluid. The amount has not been defined formally. It is noted physiologically, h...
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Gastropericardial fistula

Gastropericardial fistulas are rare abnormal communications between the stomach and the pericardial sac. This is a life-threatening condition that can lead to impaired cardiac function, sepsis and eventually death. Clinical presentation Patients with gastropericardial fistula may present with ...
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Cystic lesions of the pancreas (differential)

The differential for cystic lesions of the pancreas includes: unilocular pancreatic pseudocyst intraductal papillary mucinous neoplasm (IPMN) serous cystadenoma uncommonly uni/macrolocular simple pancreatic cyst cystic neuroendocrine tumor of the pancreas diffuse pancreatic cysts pancrea...
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Rectoanal intussusception

Rectoanal intussusception refers to the telescoping or infolding of the rectal wall within the rectum itself, or into the anal canal, or externally, during defecation. Terminology Rectoanal intussusception is also termed internal intussusception and internal procidentia1 . Epidemiology Recto...
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Intraductal papillary mucinous neoplasm

Intraductal papillary mucinous neoplasms or tumors (IPMNs or IMPTs) are epithelial pancreatic cystic tumors of mucin-producing cells that arise from the pancreatic ducts. They are most commonly seen in elderly patients.  On imaging, particularly MRCP, they are characterized by single or multipl...
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Intestinal transplant

Intestinal transplantation is a surgical treatment for intestinal failure. It is one of the most rarely performed transplant procedures performed, exclusively involving the transplantation of donor small bowel to a recipient, with an ileostomy formation.  Due to the high risk of complications w...
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Benign post-traumatic pseudopneumoperitoneum

Benign post-traumatic pseudopneumoperitoneum is the presence of ectopic gas typically between the 5th-10th intercostal spaces after high-energy trauma in the absence of other causes of pseudopneumoperitoneum such as pneumomediastinum 9.  Epidemiology Occurs with an incidence of 5% post-trauma...
Article

Barium sulfate contrast medium

Barium sulfate (BaSO4), often just called barium in radiology parlance, is an ionic salt of barium (Ba), a metallic chemical element with atomic number 56. Barium sulfate forms the basis for a range of contrast media used in fluoroscopic examinations of the gastrointestinal tract. Unlike barium ...
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Appendix

The appendix or vermiform appendix (plural: appendices) is a blind muscular tube arising from the cecum, the first part of the large bowel. Gross anatomy The appendix arises from the posteromedial surface of the cecum, approximately 2-3 cm inferior to the ileocecal valve, where the three longi...
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Rectal cancer (staging)

Staging of rectal cancer uses the TNM staging system and strongly predicts the success, and rate, of local recurrence following rectal cancer resection. MRI is the modality of choice for the staging of rectal cancer, to guide surgical and non-surgical management options. MRI is used at diagnosis...
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Cone-shaped cecum (differential)

A cone-shaped cecum refers to a loss of the normal rounded appearance of the cecum, which instead becomes narrow and cone-shaped with the apex pointing towards the base of the appendix. It is encountered in a number of conditions including: inflammatory infective blastomycosis amoebiasis Ye...
Article

Aortoesophageal fistula

Aortoesophageal (aorto-esophageal) fistulae are pathologic communications between the aorta and esophagus and result in life-threatening upper gastrointestinal hemorrhage. They are fatal in the absence of prompt management.  Epidemiology Aortoesophageal fistulas are a rare entity that accounts...
Article

Traumatic abdominal wall hernia

Traumatic abdominal wall hernia describes the traumatic disruption of musculature and fascia of anterior abdominal wall without skin penetration. Clinical presentation Abdominal skin ecchymosis or abrasions may be seen. Pathology Traumatic abdominal wall hernia is caused by blunt trauma to t...
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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...
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Hyperattenuating ring sign (epiploic appendagitis)

The hyperattenuating ring sign is a sign that has been described with epiploic appendagitis and intraperitoneal focal fat infarction. It refers to a hyperattenuating ring of visceral peritoneum. In the setting of epiplogic appendagitis, the ring would surround a thrombosed vascular pedicle with ...
Article

Anterior resection of the rectum

Anterior resection is a surgical procedure to resect the rectum and sigmoid colon while preserving the anal sphincter complex. Indications cancer of the rectum (most common) severe diverticular disease Procedure Although historically an open procedure, most anterior resections are now perfo...
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Anterior resection syndrome

Anterior resection syndrome refers to a wide spectrum of symptoms that develop following sphincter-preserving anterior resection of the rectum. Epidemiology There have been reports that ~50% of patients who undergo anterior resection for rectal cancer develop anterior resection syndrome 2. Ri...
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Pyloric stenosis

Hypertrophic pyloric stenosis (HPS) refers to the idiopathic thickening of gastric py­loric musculature which then results in progressive gastric outlet obstruction. Epidemiology Pyloric stenosis is relatively common, with an incidence of approximately 2-5 per 1000 births, and a male predilect...
Article

Limberg score

Limberg score is a semiquantitative color Doppler ultrasound assessment of the bowel wall vascularity in inflammatory bowel disease.  grade 0: normal bowel wall with no thickening (<4 mm), well-delineated mural stratification, no mural flow (no color Doppler signal)     grade 1: wall thickenin...
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Ebola virus disease

Ebola virus disease (EVD) (also known as Ebola hemorrhagic fever (EHF) or simply Ebola) is a viral hemorrhagic disease caused by the Ebola filovirus. Ebola is an extremely virulent virus with a case fatality rate of ~70% 1. Epidemiology First recognized in 1967 after polio vaccine laboratory w...

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