Category: Gastrointestinal Tract

‘Lead pipe’ colon sign

Clinical: A 52 years old lady Diagnosed ca cervix and completed chemo and radiotherapy 2 years ago Presented with recurrent abdominal pain and change in bowel habit Imaging findings: Double…

 Posted in Gastrointestinal Tract

Colonic diverticulosis

Clinical: A 54 years old lady Presented with recurrent abdominal pain Associated with change in bowel habit No associated loss of appetite or loss of weight Imaging findings: Double contrast…

 Posted in Gastrointestinal Tract

Esophageal carcinoma

Clinical: A 52 years old lady No known medical illness Presented with progressive dysphagia Associated with significant weight loss Fluoroscopy (Barium swallow) findings: A & B: frontal and lateral projection…

 Posted in Gastrointestinal Tract, Tumour

Midgut volvulus

Clinical: A 13 years old male No known medical illness Presented with right sided abdominal pain for 2 days and vomiting.┬áNo fever, no diarrhoea Hemodynamically stable No abdominal distension Clinically…

 Posted in Gastrointestinal Tract

Stomach GIST

Clinical: A 50 years old lady No previous medical illness Presented with early satiety and progressive abdominal distension. No obstructive or constitutional symptoms. CT scan findings: scanogram shows displacement of…

 Posted in Gastrointestinal Tract, Tumour

Small bowel obstruction

Clinical: A 67 years old man Underlying history of colon carcinoma Right hemicolectomy done 2 years ago for adenocarcinoma of ascending colon, T4aN2aM1 Presented with acute abdominal pain and distension…

 Posted in Gastrointestinal Tract, Tumour

Post operative pneumoperitoneum

Clinical: A 41 years old lady Post laparotomy day 2 Radiographic findings: Free gas is seen under the dome of right hemidiaphragm (red arrows) Left hemidiaphragm is elevated, no free…

 Posted in Gastrointestinal Tract

Rectal GIST

Clinical: A 68 years old male Presented with painless per rectal bleeding for one day No anaemic symptoms History of altered bowel habit for 4 months and constitutional symptoms for…

 Posted in Gastrointestinal Tract, Tumour

Quiz 8

Image 1: Question: Name the labelled structures. What causes non-visualization or poor outline of “D”? Answers: The labelled structures A: right 12th rib B: fecal material/air in the ascending colon…

 Posted in Gastrointestinal Tract

Abdominal liposarcoma

Clinical: A 47 years old lady Para 3, last child birth 14 years ago Underlying DM, HPT and hypercholesterolaemia on treatment Complaint of abdominal distension for 2 months No LOA,…

 Posted in Gastrointestinal Tract