Abdominal/Gastroenterology

Sepsis Secondary to an Abdominal Wound Infection

Alisa Wray, MD^*

DOI: https://doi.org/10.21980/J8PS60 Issue 3:2 No ratings yet.

At completion of this case learners should be able to: 1) Recognize and differentiate between systemic inflammatory response syndrome, sepsis, severe sepsis, and septic shock. 2) Prepare an appropriate differential diagnosis for a patient with sepsis. 3) Demonstrate appropriate fluid resuscitation and antibiotic therapy for a septic patient. 4) Demonstrate appropriate vasopressor therapy for a septic patient. 5) Understand and apply the Surviving Sepsis Guidelines.

Intussusception

Julian Jakubowski, DO^*

DOI: https://doi.org/10.21980/J8SH0WIssue 3:2 No ratings yet.

A segment of bowel within the right abdomen that measured approximately 1.6 x 1.5 cm transaxially. It demonstrated a hypoechoic edematous outer loop of bowel (blue arrow) and hyperechoic compressed loop of bowel telescoping within (red star), this is known as the "target sign."

Abdominal/Gastroenterology Visual EM

Procedural Sedation for the removal of a rectal foreign body

John Costumbrado, MD, MPH^*, Valerie Lew, BS^* and David Wagner, MD^*

DOI: https://doi.org/10.21980/J81332Issue 3:2 No ratings yet.

Axial and coronal views on CT showed evidence of a large, tube-shaped foreign body in the rectum (see arrows) without evidence of acute gastrointestinal tract disease.

Abdominal/Gastroenterology Procedures Visual EM

Large Ventral Hernia

Meryl Abrams, MD^*, Raymond Feuga, MD^*, Nicholas Governatori, MD^* and Jennifer White, MD^*

DOI: https://doi.org/10.21980/J86K9QIssue 3:2 No ratings yet.

Computed tomography (CT) scan with intravenous (IV) contrast of the abdomen and pelvis demonstrated a large pannus containing a ventral hernia with abdominal contents extending below the knees (white circle), elongation of mesenteric vessels to accommodate abdominal contents outside of the abdomen (white arrow) and air fluid levels (white arrow) indicating a small bowel obstruction.

Abdominal/Gastroenterology Visual EM

Elderly female with acute abdominal pain presenting with Superior Mesenteric Artery Thrombus

Sassan Ghassemzadeh, MD^*

DOI: https://doi.org/10.21980/J82W52 Issue 3:2 No ratings yet.

Computed tomography (CT) angiogram of the abdomen and pelvis revealed a superior mesenteric artery (SMA) thrombosis 5 cm from the origin off of the abdominal aorta. As seen in the sagittal view, there does not appear to be any contrast 5 cm past the origin of the SMA. On the axial views, you can trace the SMA until the point that there is no longer any contrast visible which indicates the start of the thrombus. The SMA does not appear to be reconstituted. There was normal flow to the celiac artery. (See annotated images).

Abdominal/Gastroenterology Cardiology/Vascular Visual EM

A Case of Acute Cholecystitis

Chad Correa, BS^* and Lindsey Spiegelman, MD^{^}

DOI: https://doi.org/10.21980/J8405QIssue 3:1 No ratings yet.

Bedside point-of-care ultrasound revealed a distended gallbladder, thickened gallbladder wall, pericholecystic fluid, and a stone in the neck of the gallbladder indicative of acute cholecystitis.

Abdominal/Gastroenterology Visual EM

Perianal Abscess

Luke Walls-Smith, BS^* and Jonathan Peña, MD^*

DOI: https://doi.org/10.21980/J8QP81Issue 3:1 No ratings yet.

Computed Tomography (CT) of the Pelvis with intravenous (IV) contrast revealed a 5.7 cm x 2.4 cm air-fluid collection in the right perianal soft tissue along the right gluteal cleft, with surrounding fat stranding, consistent with a perianal abscess with cellulitis.

Abdominal/Gastroenterology Infectious Disease Visual EM

An Elderly Male with Amyand’s Hernia

Saema Said, MD^* and Roozbeh Houshyar, MD^{^}

DOI: https://doi.org/10.21980/J80D13 Issue 2:4 No ratings yet.

Ultrasound of the right scrotum shows a right inguinal hernia with an air-containing loop of bowel (white arrow) and a non-compressible appendix (yellow arrow). Coronal and axial views of abdomen-pelvis CT show a right inguinal hernia containing a loop of small bowel (white arrow) and appendix (yellow arrow).

Abdominal/Gastroenterology Visual EM

Pediatric Esophageal Foreign Body

Samer Assaf, MD^* and Ryan Gibney, BS^*

DOI: https://doi.org/10.21980/J8GD1F Issue 2:4 No ratings yet.

A radiopaque foreign body was visualized in the proximal esophagus at the thoracic inlet on the chest and neck radiographs. The foreign body appeared to be metallic with visualized concentric rings consistent with a coin.

Abdominal/Gastroenterology Pediatrics Visual EM

Bedside Ultrasound for the Diagnosis of Small Bowel Obstruction

Alexander Anshus, BS^* and Maili Alvarado, MD^{^}

DOI: https://doi.org/10.21980/J86W6PIssue 2:4 No ratings yet.

The POCUS utilizing the low frequency curvilinear probe demonstrates fluid-filled, dilated bowel loops greater than 2.5cm with to-and-fro peristalsis, and thickened bowel walls greater than 3mm, concerning for SBO.

Abdominal/Gastroenterology Visual EM