Hypervascular pancreatic mass with multiple peptic ulcers and thickened folds • Best imaging tool Helical CT or MR for pancreas and possible metastasis Endoscopic ultrasonography for additional primary sites; guides biopsy…
1 manifestation of fibropolycystic liver disease IMAGING • Biliary hamartomas, polycystic liver disease, choledochal cyst, and Caroli disease Often coexist in same patient • CT or MR: Enlarged dysmorphic liver, left lobe…
Heterogeneous, encapsulated mass located within omentum (usually in right lower quadrant) – Surrounding inflammatory change and fat stranding ± small free fluid Variable attenuation, but usually foci of fat attenuation Usually well…
Tumor is encapsulated Recurs after incomplete excision Variable MR signal intensity locules depending on content of cystic fluid • Malignant potential to develop into cystadenocarcinoma even after years of stability TOP…
Remainder are polyps Gastrointestinal stromal tumor (GIST) is most common Others include lipoma, carcinoid, leiomyoblastoma, lymphangioma, neural tumors IMAGING • Upper GI series: Intact mucosa, obtuse or right angles with wall…
Antrectomy with gastroduodenostomy • Billroth 2 (B2) procedure Distal gastrectomy with gastrojejunostomy • Surgery for gastric cancer May be some variant of B1 or B2, up to total gastrectomy • Complications include recurrent…
50% contain ectopic gastric mucosa 90% present with GI bleeding in children IMAGING • Rule of 2s Seen in ∼ 2% of population Located within 2 feet of ileocecal valve Length…
Most commonly Roux-en-Y gastric bypass and liver transplantation Much more common when Roux loop is placed in retrocolic position • Almost always congenital in children May be secondary to prenatal intestinal…
Hepatitis B and C are major variants Only hepatitis B and hepatitis C cause chronic disease Hepatitis C is leading cause of cirrhosis and hepatocellular carcinoma in USA • Role of…
