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All small-bowel Cases

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.


Duodenal ulcer underneath a clot with arterial bleed

63yo Male admitted to Cardiac ICU with Chest Pain. Pt had MI and had Drug Eluding Stents X 2 placed. ...


Bowel perforation

#Bowel perforation.


Duodenitis on duodenal ultrasound

24 y/o college sports player, presents to ER with severe epig pain and unable to eat...thickened duodenal wall (5mm) Duodenitis


Ovarian cyst gross specimen

Ovarian cyst with attached tube.





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, ...


Fluoroscopic image of a microcolon with contrast surrounding impacted meconium in the distal ileum

Fluoroscopic image from a water-soluble contrast enema in a newborn shows a microcolon with contrast surrounding impacted meconium in the ...


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, ...


Jejunal atresia on abdominal xray

Patient brought to ER from a rural clinic 4 hrs after birth in bad and deteriorating condition with severe abdominal ...


Congenital umbilical hernia

Congenital umbilical hernia is very common in newborns (like this healthy 2wk girl) and usually resolves without sequelae by age ...


Ileocolic intussusception on abdomen xray

AP abdominal radiograph in a preschooler with vomiting & pain shows normal gas in the distal transverse colon (white arrow). ...


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 ...


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. ...


Progression of healing stoma

Last update to case: ostomy mostly healed although significantly smaller and will end up flat or inverted. Necrotic tissue is ...


Circumferential small bowel enlargement on abdominal CT

60yo female with complaints of pain in the left abdomen since 5 days. No appetite and nauseous. No fever and ...


Terminal ileum irregularity on xray in Crohns

Radiograph from a small bowel follow through shows irregularity of the terminal ileum. The ileum is separated from other loops ...


Intussusception on ultrasound

24 mo M BIB fam x8hr Hx of intermittent fussiness and inconsolable crying with intervals of 15 min normal behavior. ...

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