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Radiation Enteropathy

Q: What do the examinations show? CT in an elderly female patient with intermittent abdominal colic 10 years post radiotherapy for endometrial cancer. Small bowel meal and follow through             A:...

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Dropped or Spilled Gallstones

Question: 2 cases (a,b) of the same diagnosis in patient’s with right flank/right upper quadrant pain post cholecystectomy. What does a) the CT and b) MRI demonstrate? A) CT B) MRI         C) MRI...

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Blind Pouch Syndrome

45 year old male with iron deficiency anaemia 5 years post small bowel resection for crohn’s disease. Normal upper and lower GI endoscopy. Question:  What abnormality is present? a) Barium small bowel...

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Management of Bile Leaks

Conversion from laparoscopic to open cholecystectomy (because of an unexpected gallbladder tumor found at surgery) with rising bilirubin and suspected cholangitis one-week post op. Ultrasound (not...

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Small Bowel Ischaemia

 Chapter 1: General Post Operative – Case 1 Click to enlarge Coronal CT in a septic moribund patient with abdominal patient 5 days post coronary artery bypass surgery.   Question: What sign is...

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Pseudomembranous Colitis

From Radiology of the Post Surgical Abdomen Coronal CT’s in 2 different patients with diarrhea in the post-operative period with a history of antibiotic use. Question: What is the underlying etiology?...

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Retained Foreign Material

From Radiology of the Post Surgical Abdomen Axial CT in a patient status 10 days post Hartmann’s procedure, hysterectomy, and unilateral oophorectomy for advanced rectal carcinoma with signs of sepsis....

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Intra-Peritoneal Ovarian Malignancy

From Radiology of the Post Surgical Abdomen Debulking procedure for intra-peritoneal ovarian malignancy complicated by a drop in hemoglobin. Concerns for post-operative bleeding. Question: What does...

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Laparoscopic Sigmoid Colectomy

From Radiology of the Post Surgical Abdomen CT exam of a patient 10 days post-laparoscopic sigmoid colectomy. Question: What abnormality is marked? What may account for these appearances? How long...

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Ivor Lewis Esophagectomy

From Radiology of the Post Surgical Abdomen (Images a-d) Illustration of normal post operative anatomy. Ivor Lewis Procedure. After abdominal dissection the thorax is opened via the 4th intercostal...

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