Schatzki Ring

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Schatzki Ring

 Ring < 13 mm in diameter: Symptomatic  Ring 13-20 mm: Occasionally symptomatic  Ring > 20 mm in diameter: Asymptomatic • Single-contrast barium esophagram  Thin (2-4 mm in height), web-like constriction at…

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Boerhaave Syndrome

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Boerhaave Syndrome

 Usually from left side of distal thoracic esophagus • Chest film  Left side pleural effusion or hydropneumothorax  Radiolucent streaks of gas along aorta or in neck • Esophagography with nonionic, water-soluble contrast…

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Aortoenteric Fistula

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Aortoenteric Fistula

(Left) Graphic shows a fistula between the transverse duodenum and aorta at the site of the graft-aortic suture line . (Right) Axial CECT in a 70-year-old man presenting with fever…

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Barrett Esophagus

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Barrett Esophagus

 Due to more severe reflux disease  Hiatal hernia in almost all patients  Mid esophageal mucosal irregularity, stricture, deep ulceration  Risk of cancer > short-segment type • Short segment: Columnar epithelium ≤…

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Obturator Hernia

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Obturator Hernia

 Hernia most commonly contains loop of Ileum, although can rarely involve other pelvic viscera (i.e., bladder)  Most often trapped between obturator externus and pectineus muscles  May also be located between…

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Candida Esophagitis

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Candida Esophagitis

 Mucosal plaques in immunocompromised patients  Predominantly mid or upper esophagus  Plaques: Several mm in size, usually < 1 cm  Longitudinally oriented plaques  90% sensitivity in detecting Candida esophagitis PATHOLOGY • Most…

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Gastric Diverticulum

Nov 16, 2016 by in GASTROINTESTINAL IMAGING Comments Off on Gastric Diverticulum

 Near gastroesophageal (GE) junction, on posterior aspect of lesser curvature of stomach • Usually 1-3 cm, up to 10 cm in diameter • On upper GI series  Barium-filled diverticulum with air-fluid level…

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