Articles

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1,463 results found
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...
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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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Inguinal region mass (differential)

The differential diagnosis of an inguinal region mass includes (in no particular order) 1-4: inguinal hernia femoral hernia hydrocele of the canal of Nuck spermatic cord hydrocele lymphadenopathy or necrotic lymph node undescended testis aneurysm or pseudoaneurysm of the femoral artery i...
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Pseudosacculation

Pseudosacculations (also known as pseudodiverticula) are outpouchings of normal bowel wall along the antimesenteric border. Inflammation and fibrosis along the mesenteric border of the bowel loop causes asymmetric shortening of the mesenteric wall, and subsequent pseudosacculations of the normal...
Article

Glasgow-Blatchford score

The Glasgow-Blatchford score (GBS) is a widely-used and well-validated scoring system for upper GI bleeding and the need for intervention. Score The scoring system relies upon knowing the patient's urea, hemoglobin, systolic blood pressure, and several other criteria. Each criterion is scored,...
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Esophageal web

Esophageal webs refer to an esophageal constriction caused by a thin mucosal membrane projecting into the lumen. Epidemiology Esophageal webs tend to affect middle-aged females. Clinical presentation Patients are usually asymptomatic and the finding may be incidental and unimportant. However...
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Esophageal carcinoma

Esophageal carcinoma is globally the 7th most common cancer and 6th most common cause of cancer-related death as per NCCN version 3.2023. It tends to present with increasing dysphagia, initially to solids and progressing to liquids as the tumor increases in size, obstructing the lumen of the eso...
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Cricopharyngeal bar

Cricopharyngeal bar refers to the radiographic appearance of a prominent cricopharyngeus muscle contour on barium swallow. Terminology The terms cricopharyngeal bar and cricopharyngeal muscle spasm/achalasia are often used synonymously but this is incorrect because studies have demonstrated th...
Article

Pancreatic duct stone

A pancreatic duct stone, also known as calculus, is a stone embedded within the pancreatic ducts. They typically arise in the setting of chronic pancreatitis. Terminology Three terms other than pancreatic stones or calculi have been used to refer to calculi in the pancreatic ducts; primarily t...
Article

Aortoenteric fistula

Aortoenteric fistulas are pathologic communications between the aorta (or aortoiliac tree) and the gastrointestinal tract and represent an uncommon cause of catastrophic gastrointestinal hemorrhage. Aortic fistulas may be considered primary (associated with a complicated abdominal aortic aneury...
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Lymphangioleiomyomatosis

Lymphangioleiomyomatosis (LAM) is a low-grade destructive metastasizing PEComatous tumor 1 resulting from the proliferation of LAM cells in the lung, kidney and axial lymphatics. The disease is caused by mutations of the TSC2 or TSC1 genes and is more commonly sporadic rather than inherited. Cys...
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Glucagon

Glucagon is a polypeptide hormone central to the regulation of glucose homeostasis, acting as an antagonist to insulin. In imaging, it is used as an antiperistaltic agent in GI studies, although its clinical efficacy is controversial.  Structure Glucagon is a 29-amino acid polypeptide hormone ...
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Transthyretin amyloidosis

Transthyretin (ATTR) amyloidosis is a form of systemic amyloidosis characterized by the misfolding, aggregation and deposition of transthyretin-related (TTR) protein in various organs 1-6. This can occur in the following two forms namely in the setting of a genetically normal transthyretin-relat...
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Candida esophagitis

Candida esophagitis is the most common cause of infectious esophagitis that commonly affects immunocompromised patients. On imaging, it is characterized by irregular plaque-like lesions separated by normal mucosa and small (<1 cm) ulcers, which are assessed on esophagogram studies.   Epidemiolo...
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Lipoma

Lipomas are benign tumors composed of mature adipocytes. They are the most common soft tissue tumor, seen in ~2% of the population.  Epidemiology Patients typically present in adulthood (5th-7th decades). Associations In some cases, multiple lipomas are associated with syndromes and other di...
Article

Intraperitoneal focal fat infarction

Intraperitoneal focal fat infarction (IFFI) refers to a group of self-limiting abdominal diseases where the primary insult is acute inflammation of intraperitoneal fat. They commonly mimic the more common causes of acute abdomen such as acute diverticulitis and acute appendicitis. The group incl...
Article

Perigastric appendagitis

Perigastric appendagitis is a rare inflammatory/ischemic process involving the perigastric ligaments (gastrohepatic, gastrosplenic and falciform ligaments). Along with epiploic appendagitis and omental infarction, perigastric appendagitis falls under the umbrella of intraperitoneal focal fat in...

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