Articles

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1,465 results found
Article

Idiopathic eosinophilic esophagitis

Idiopathic eosinophilic esophagitis is an inflammatory disease of the esophagus characterized by eosinophilia that can involve all the layers of the esophagus.  Epidemiology It is most commonly seen in males aged 20-40. It is an uncommon disease; however not rare.  Clinical presentation Pati...
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Eosinophilic gastroenteritis

Eosinophilic gastroenteritis (EG) is an uncommon disease characterized by diffuse infiltration of any or all layers of gut wall by eosinophils.  Epidemiology  Eosinophilic gastroenteritis is an uncommon but not rare disease with slight male predominance. It can affect any age group but usually...
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Giant colonic diverticulum

Giant colonic diverticula, also referred to as giant colonic pseudodiverticula, are an uncommon presentation of colonic diverticulosis and are characterized by large diverticular masses, usually filled with stool and gas, that communicate with the colonic lumen. Terminology Although the great ...
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Ligamentum teres hepatis (abdomen)

The ligamentum teres hepatis or round ligament is the fibrous cord formed by the obliterated fetal umbilical vein that runs in the free edge of the falciform ligament from the umbilicus into the left lobe of the liver.  
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Falciform ligament sign

The falciform ligament sign, also called the Silver sign, is characterized by the falciform ligament being outlined with free abdominal gas in cases of pneumoperitoneum of a large amount.  It is almost never seen in isolation as, if there is enough free gas to outline the falciform ligament, th...
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Rectal cancer response assessment

Assessment of rectal cancer response to therapy, which may be chemotherapy, radiotherapy, or a combination, relies on the synthesis of clinical, endoscopic and radiologic evaluation.  The purpose of neoadjuvant therapy is to downstage the tumor, to facilitate surgical resection, and reduce loca...
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Pancreatic ductal adenocarcinoma

Pancreatic ductal adenocarcinoma, frequently referred to as pancreatic cancer, makes up the vast majority (~90%) of all pancreatic neoplasms and remains a disease with a very poor prognosis and high morbidity. Epidemiology Pancreatic cancer accounts for 22% of all deaths due to gastrointestina...
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Omental infarction

Omental infarction is a rare cause of acute abdomen resulting from vascular compromise of the greater omentum. This condition has a non-specific clinical presentation and is usually managed conservatively. Along with epiploic appendagitis and perigastric appendagitis, the term omental infarctio...
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Meckel diverticulum

Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric (vitelline) duct that occurs around the distal ileum. It is considered the most common structural congenital anomaly of the gastrointestinal tract. Epidemiology ...
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Split scar sign (rectal cancer response assessment)

The split scar sign has been described as a feature on rectal cancer MRI studies acquired following chemoradiotherapy and having a high specificity and positive predictive value for a complete response 1. In a meta-analysis that observed an average complete response rate of 38%, the presence of ...
Article

Circumferential resection margin

Circumferential resection margin (CRM) is a term used to denote the standard plane of excision of total mesorectal excision, used for resection of rectal cancers. The anatomic correlate is the mesorectal fascia. The distance between tumor tissue or satellite tumor deposits and the mesorectal fas...
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Left hemicolectomy

Left hemicolectomy is a surgical procedure in which splenic flexure, descending colon, and a portion of the sigmoid colon are removed for radical treatment of various pathologies affecting the descending colon. Indications colon cancer inflammatory bowel disease isolated left diverticular di...
Article

Ulcerative colitis

Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) that not only predominantly affects the colon, but also has extra-intestinal manifestations. Epidemiology Typically ulcerative colitis manifests in young adults (15-40 years of age) and is more prevalent in males but the onset of d...
Article

Pancreas transplant

A pancreas transplant is a major surgical procedure in which a donor pancreas is transplanted into a recipient. The donor pancreas is typically cadaveric, but may rarely be a segment from a living donor 1. The transplant is meant to establish normoglycemia in patients with diabetes mellitus, typ...
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Petersen hernia

Petersen hernias are internal hernias which occur in the potential space posterior to a gastrojejunostomy. This is herniation of intestinal loops through the defect between the small bowel limbs, the transverse mesocolon, and the retroperitoneum, after any type of gastrojejunostomy. The laparosc...
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Retroperitoneum

The retroperitoneum is the part of the abdominal cavity that lies between the posterior parietal peritoneum anteriorly and the posterior abdominal wall 4. It is C-shaped on axial cross-section with convexity projecting anteriorly in the mid-line.  Gross anatomy The retroperitoneum is variably ...
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Normal gastrointestinal tract imaging examples

This article lists examples of normal imaging of the gastrointestinal tract and surrounding structures, divided by modality. Plain radiograph abdominal film example 1 example 2: erect and supine example 3: pediatric example 4: pediatric example 5: young adult male Barium studies barium ...
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Paraesophageal hernia

Paraesophageal hernias (POH), or rolling hiatus hernias, are an uncommon type of hiatus hernia representing ~10% of all hiatus hernias.  Clinical presentation Can vary and can include: asymptomatic gastro-esophageal reflux disease  substernal, post-prandial chest pain epigastric pain dysp...
Article

Hepatic and splenic tuberculosis

Hepatic and splenic tuberculosis refers to tuberculosis affecting the liver and the spleen. It generally occurs due to hematogenous spread from the primary site of infection, commonly from pulmonary tuberculosis. Pathology Two types of lesions are known: micronodular (common) macronodular (r...
Article

Whole-body CT (protocol)

CT polytrauma/multitrauma, also called trauma CT, whole body CT (WBCT) or panscan, is an increasingly used investigation in patients with multiple injuries sustained after significant trauma. The majority of the evidence regarding whole-body CT is, understandably, retrospective. There is some e...

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