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All large-bowel Cases

Laparoscopic appendectomy

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


Foreign Object in Rectum XRay

57yr old man presented to ED with constipation and anal leakage and bleeding. Xrays shows foreign object. Pt then admits ...


Sleeve gastrectomy

#sleevegastrectomy item CO2 test for stapling lines leaks. No leakage. 400 cc insuflation. Perfect lineal stapling.


Ascites fluid from paracentesis

compare these 2 totally different ascites fluid obtained from a paracentesis. The one of the first patient, had a 29K ...


Polyps in the cecum on colonoscopy

#Colon #Polyp(s) (LST-G) 3x2 cm in the #Cecum. Endoscopic mucosal resection was performed with argon plasma coagulation of the edges ...


Diaphragmatic tear pre and post repair on chest x-ray

65yr female admitted into ICU post multitrauma mainly chest . She had weaning failures and failed extubations. She was found ...


Bowel perforation

#Bowel perforation.


Upright MRI

1. Great position for t-spine. This is just an example of a #uprightmri #mri 2nd shows table tilting back to ...





Sigmoid colon diverticuli

Beautiful sigmoid colon diverticuli. Sorry no ruler, but they averaged around 2cm in length.


Chicken bone found perforating sigmoid colon during exploratory laparotomy

appears to be chicken bone found perforating sigmoid colon during ex lap. Thought initially to be ruptured diverticulitis, but found ...


Tenia solium

2 year Hx Abdominal pains and eosinophilia this young lady from Congo received a surprise in the pail this morning.



Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...


Globet cells histology

first pictures is #smallintestine, you can notice #globetcells stained with #PAS. Second picture is #largeintestine, globet cells are white as ...


Situs inversus

Term Newborn, x-ray day of delivery. Some deformities shown on fetal ultrasound, some surprises. What do you see? Healthy mother, ...


Pyelonephritis on kidney CT

Oblique coronal contrasted CT image of the kidneys in a teenager with flank pain & fever shows patchy foci of ...


Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...


Crohn disease stricture on abdominal CT

Axial contrast enhanced CT from a CT enterography shows a high density pill stuck in an abnormal segment of bowel. ...


Hirschsprung's disease on abdominal xray

7yo, female, late onset of #Hirschsprung's-disease, living in a farm away from medical care, came to us with fecaloid #Vomiting, ...


Noncommunicating hydrocephalus

2 VP shunt cases- 2 different outcomes. 1st case: 45yoM with noncommunicating hydrocephalus s/p post fossa tumor removal with change ...


Hirschsprung Megacolon X Ray

2 yo came in with abdominal distension. Xray showed...


Squamous cell carcinoma on histology

#Squamous-cell-carcinoma #Folliculitis #Sebaceous-glands there's a lot going on here. I'm thinking Scc more opinions please thanks.


Hand Foot Mouth Disease

difficult case for me, 32 y.o. Make librarian presents with rash for 1 day. No significant past medical history, no ...


Abdominal aortic aneurysm stent compressing colon

#Abdominal-Aortic-Aneurysm Stent Compressing Colon. A 72-year-old male CC rectal bleeding, change in bowel habits. PMHx Repair of an AAA with ...


Endometriosis on laparoscopy

Patient with long history of #Endometriosis (green arrow lesions) presented with increasing #Bloating , abdominal #Pain. Imaging showed #Endometrioma mass ...


Tigecycline general use information

Tygacil (#tigecycline) only comes IV... Adjust for hepatic dysfunction, no adjustment for renal dysfunction... Typical dose is 100mg load, then ...


Obturator hernia on CT

90+ year-old woman admitted for vomiting and renal failure. Bowel obstruction suspected. CT shows obturator hernia so emergent surgery is ...


IV metronidazole and usage information

#Metronidazole has a range of uses including for Protozoa and anaerobic bacteria. It works against Gram negative anaerobe Bacteroides fragilis. ...


Foreign bodies on abdominal xray

54 yo/M history of schizophrenia and multiple admits for swallowing foreign objects, initially unable to retrieve AA batteries x2, was ...


Chronic diverticulitis evident on barium enema

71 year-old with 1 week history of abdominal distention, nausea and vomiting. Transferred to our hospital for "small bowel obstruction". ...

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