By Angela D. Levy, Koenraad Mortele, Benjamin M. Yeh
Supplying 171 targeted instances, Gastrointestinal Imaging circumstances positive aspects over seven hundred top of the range pictures. The clinically proper situations hide either benign and malignant stipulations and are grouped into 12 sections prepared through the elements of the Gastrointestinal approach together with: the Pharynx and Esophagus, abdominal, Duodenum, Small gut, Appendix, Colon, Rectum, and Anus, Liver, Gallbladder, Bile Ducts, Pancreas, Spleen, and Mesentery and Peritoneum. inside each one part, the situations look in a random order to facilitate the self-assessment event of examining circumstances as unknowns. every one case is entire with pertinent findings, differential diagnoses, administration techniques, instructing issues, and recommended additional examining. This accomplished, but easy-to-follow, casebook is a perfect instrument for the resident getting ready for the forums, the guy for recertification checks, or the radiologist wanting a short overview.
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Additional resources for Gastrointestinal Imaging Cases
Juvenile polyposis syndrome carries an increased risk of gastrointestinal malignancy, with cancers occurring in the colon and stomach. Management If the patient has a small number of polyps, the disease burden typically is managed with polypectomy. Extremely large numbers of polyps may require gastrectomy, but clinical symptoms dictate treatment. Radiologists should be aware of the common extraintestinal manifestations of juvenile polyposis syndrome; these include cardiac anomalies and pulmonary arteriovenous malformations.
Teaching Points Fibrovascular polyps are unusual, benign esophageal tumors that arise in the cervical esophagus at the level of the cricopharyngeus. These tumors grow slowly and elongate over time, extending into the middle and distal esophagus by the time the patient complains of symptoms. The majority of patients complain of slowly progressive dysphagia. Other symptoms include weight loss, bleeding from ulcerations on the polyp, and asphyxia from regurgitation of the polyp into the mouth or laryngeal compression.
The site of origin in the cervical esophagus is usually not visualized on esophagram. On CT, the mass is typically heterogeneous in attenuation and contains fat. Management Cervical esophagotomy with exploration and resection of the mass and the pedicle is the procedure of choice. If the lesion is very large and extends to the distal esophagus, a thoracotomy may be necessary. Further Readings 1. Levine MS, Buck J, Pantongrag-Brown L, et al. Fibrovascular polyps of the esophagus: clinical, radiographic, and pathologic findings in 16 patients.
Gastrointestinal Imaging Cases by Angela D. Levy, Koenraad Mortele, Benjamin M. Yeh