Mayo Clinic Gastrointestinal Imaging Review by C. Daniel Johnson PDF

By C. Daniel Johnson

ISBN-10: 0849397952

ISBN-13: 9780849397950

Providing 4 instances the volume of imaging instances provided via competing texts, this reference stands because the leading consultant to universal illnesses and radiographic displays chanced on in the gastrointestinal tract-authoritatively protecting the whole variety of gastrointestinal ailments to incorporate stipulations affecting the esophagus, abdominal, duodenum, small bowel, colon, liver, biliary tree, gallbladder, pancreas, spleen, peritoneum, and mesentery.

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Sample text

Contrast-enhanced CT of the chest. A wellcircumscribed, exophytic, enhancing tumor (arrow) is seen along the right side of the distal esophagus. Differential Diagnosis 1. Gastrointestinal stromal tumor 2. Fibroma, neuroma, neurofibroma, lipoma, hemangioma 3. Duplication cyst 4. Lymphoma Diagnosis Gastrointestinal stromal tumor Discussion The location of the mass in relationship to the esophagus, its smooth surface, and the obtuse angle between the mass and the esophageal lumen suggest a submucosal mass.

Some investigators have suggested that this finding may be more common in patients with esophagitis.

These defects changed in size and shape. 39. Contrast-enhanced CT. Several esophageal varices are present within the distal periesophageal tissues. Differential Diagnosis 1. Esophageal varices 2. Varicoid esophageal carcinoma Diagnosis “Uphill” esophageal varices Discussion Esophageal varices are dilated submucosal veins that develop as a result of portal venous hypertension. Hepatic cirrhosis is the most frequent cause of portal venous hypertension. Increased portal venous pressure reverses normal venous blood flow such that flow occurs “uphill” from the portal vein, to the left gastric (coronary) vein, to the periesophageal venous plexus, and, finally, to the azygous and hemiazygous collaterals that empty into the superior vena cava.

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Mayo Clinic Gastrointestinal Imaging Review by C. Daniel Johnson


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