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All gastroenterology Cases

acute on chronic subdural hematoma on CT brain

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0


specimen of cirrhotic liver from chronic HCV

1. Cirrhotic liver with HCV origin after hepatectomy during liver transplantation; 2. Liver graft preparation - suturing interior vena cava ...


small bowel obstruction on x-ray

40yof 1 week post hysterectomy c/o sudden onset vomiting last bowel movement 2 d ago. Abdo pain max in (L) ...


Severe pancreatitis on CT

Patient 32yom with no previous medical records came complaining of epigastric abdominal pain 18-20h before admission, irradiating to back, with ...


hair and fibres on abdominal endoscopic image in pica

UPDATE: the patient history that was left out: patient had black vomitus x2 containing tufts of hair. Upper GI series ...


cholangiocarcinoma with hepatic involvement

60-year-old woman admitted to hospital for surgery due to #Cholangiocarcinoma originating from the common bile duct which invaded all the ...


Gall stone removed after Open cholecystectomy

This is one of the many stones we extracted from our Open-Chole surgery.


Sigmoid volvulus infected a week after hip replacement

76 YOM with sigmoid volvulus less than one week after hip replacement which became infected. We elected to do a ...


Snakeskin gastric mucosa lesion

PX 67y, female with DM, AH, sick one mouth ago with dumping complaints, nausea, vomiting, epigastric pain, little daily consumption ...


Gastric adenocarcinoma with associated lymph node involvement

This is the endoscopy and endoscopic US/bx of the gastric mass and associated lymph nodes.


gastrointestinal stromal tumor on endoscopic ultrasound

Endoscopic and endoscopic ultrasound images of gastrointestinal stromal tumors (GISTs). What features of submucosal tumors indicate that they should be ...


Metastatic signet ring cell adenocarcinoma of the umbilicus

Metastatic signet ring cell adenocarcinoma to the umbilicus. Most common origin is from the GI tract. Also known as Sister ...


Gastrointestinal stromal tumor

Another Gastric tumor... this one is a GIST...


lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...


recurrent tonsillitis not releived by clindamycin

how should this be treated? This patient is a 22yo M, with no significant PMHx other than frequent Streptococcal Tonsillitis. ...


Abdominal wall hematoma on CT abdomen without any cause except coughing and senility

70 YO female patient. She has abdominal pain which started while she was coughing. She has HT, Diabetes. She doesn't ...


Dilated small bowel in chrons disease after Laparoscopic Hand-Assisted Ileocecectomy

Pt presents as a 22 year old male with severe Crohn's disease. Pt was diagnosed 4 years prior to procedure. ...



Clinical challenge: A 69-year-old female presented with a nodule in the left supraclavicular area. What questions are important in the ...


gastric adenocarcinoma on posterior stomach wall in gastrectomy specimen

This is a subtotal #Gastrectomy specimen. You can see the stomach where my hand is and the lesser curvature adipose ...



15 year old from sub saharan Africa. Reportedly hardened/ thickened skin present since shortly after birth, worsening over course of ...


Foreign body esophagus

Toy panda removed surgically after ingestion by a 14-yo patient


Tonsillitis associated with pain near teeth

This tonsillitis was associated with the pain near teeth 4.8 , pacient said feel discomfort at the same time .To ...


Antibiotic-resistant bacteria by WHO

The World Health Organization (WHO) has released the first list of antibiotic-resistant priority pathogens. In the publication are 12 families ...


Perforated diaphragm

68 yo male presented with N/V, abdominal distension and SOB. What do you see?


Diaphragmatic hernia on chest x-ray

70YOF presented with vague complaints of intractable pains, weakness, fatigue. Has had numerous surgical procedures on joints, including shoulder replacement ...


Chest X-ray of the patient with history of cough

72 year old male presented with history of dry #Cough for 7 days and became productive with blood for 3 ...


Laparoscopic cholecystectomy

another Lap chole. More cool stones.


Gastric outlet obstruction due to carcinomatosis on CT

64F with ovarian cancer and carcinomatosis presents with abdominal distention, pain, and multiple episodes of N/V which have been worsening ...


Laparoscopic appendectomy

Just another swollen #appendix, ready for #laparoscopic removal. 30 something male, with acute onset right lower quadrant pain, nausea, and ...


Pseudo aneurysm arising from cystic artery

63 yo female status post outside transjugular liver biopsy presenting with ruq pain. Pre contrast images show a large stone ...

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