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Presentation11

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    Presentation11 Presentation11 Presentation Transcript

    • appendictis
      • DX mainly clinical*
      • US/CT
      • Appendicolith
      • Thick walled blind ending loop >6 mm
      • Appendix mass/abscess
    •  
    •  
    • Ischemic colitis Acute ischemia rare Hemorrhage & edema-thumbprint
    • Air In portal vein Air In the wall of bowel
    • Chronic ischemia Stricture Between the splenic flexure & sigmoid colon Smooth tapered sacculation
    • Pneumatosis coli DDx hemorrhage/edema colitis May cause silent pneumoperitoneum
    • volvolus
      • Twisting of a loop on its mesentery
      • Sigmoid commonest-less in the cecum
      • DX usually by plain abdomen
      • Marked dilatation of the loop; dilatation proximally
      • BE DX smooth tapered narrowing
      • non operative reduction
    •  
    • intussusceptions
      • Commonest ileo-colic
      • Invagination of one loop into another
      • US: DX abdominal mass with hyperechoic center
      • Early-no sign of peritonitis:
      • Pneumatic reduction- Enema with CO2/air
      • Barium enema for dx & reduction