Presentation11

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Presentation11

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

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