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  • Nam 28 tuổi với đau HC(P)

  • Viêm ruột thừa lạc chổ. Brief review of Epiploic Appendagitis Rare inflammatory and ischemic condition Results from torsion

  • Diffuse largeB-cell lymphoma Brief review of round solid mesenteric masses Malignant solid tumors have a tendency to be loca

  • 60/M Chief complaint: jaundice, fever and chill *not hach *day thanh

  • Gallbladder carcinoma Brief review of gallbladder carcinoma Most common biliary cancer Associated with: (1) Gallstones in

  • 45/M Chief complaint: general weakness

  • Addison disease caused by adrenal tuberculosis Brief review of addison disease = Primary adrenal insufficiency 90% of adren

  • These are images from contrast-enhanced abdomen CT. There is a large, round mass between the right hepatic lobe and the duoden

  • AnswerMyxoid liposarcoma Brief review of myxoid liposarcoma most common type of liposarcoma varying degrees of mucinous + f

  • M/40 chief complaint: jaundice PTC

  • Percutaneous transhepatic cholangiography shows multiple ovoid filling defects in dilated intrahepatic bile ducts. Focal stric

  • Clonorchiasis of the liver Brief review of clonorchiasis of the liver Endemic Country: Japan, Korea, China, Taiwan, Indochin

  • M/49 Chief complaint: fever,chill

  • Pneumoperitoneum due to perforated duodenal ulcer Radiologic findings of pneumoperitoneum air lesser peritoneal sac gas in sc

  • M/57 Chief complaint: fever and chill Past medical history: went through whipple’s operation due to pancreatic cancer

  • Afferent loop syndrome caused by recurred pancreatic cancer Brief review of afferent loop syndrome Complication of subtotal g

  • F/59 Chief complaint: went through extended left hepatic lobectomy and radiation therapy for klatskin tumor

  • Radiation-induced liver disease Brief review of radiation-induced liver disease US hypoechoic - localized hepatic congestion

  • Pheochromocytoma Brief review of pheochromocytom Location: anywhere in sympathetic nervous system from neck to sacrum subd

  • 54 /M Chief complaint: abdominal pain

  • Secondary hepatic lymphoma in non-Hodgkin’s lymphoma Brief review of hepatic lymphoma most lymphoma of the liver are secondar

  • 48/M Chief complaint: swallowing difficulty

  • Esophageal leiomyoma Brief review of esophageal leiomyoma Most common benign tumor of esophagus; 50% of all esophageal benign

  • These are images from contrast-enhanced CT scan. There are multiple masses and infiltrations in the omentum. The masses have i

  • Metastasis from melanoma Brief review of metastases from malignant melanoma 1. Lymphadenopathy 2. Bone (11 - 17%) : axial

  • 44/F Chief complaint: incidental mass

  • Tuberculous lymphadenopathy Brief review of regional patterns of lymphadenopathy 1. Gastrohepatic ligament nodes superior por

  • 53/M Chief complaint: abdominal pain after getting blunt injury to the abdomen These are images from contrast-enhanced CT sc

  • 34/M Chief complaint: palpable abdominal mass

  • Malignant gastrointestinal stromal tumor (GIST) of duodenum Brief review of malignant GIST of small bowel Location: duoden

  • 28/F Chief complaint: jaundice CT ERCP

  • Polypoid hilar cholangiocarcinoma Brief review of extrahepatic cholangiocarcinoma Location: left / right hepatic duct in 8

  • 30/M Chief complaint: abdominal distension These are images from contrast-enhanced CT. There is a large cystic mass in the ab

  • Lymphangioma Brief review of lymphangioma Congenital malformation of lymphatic vessels Pathology usually multiloculated lar

  • 42/M Chief complaint: frequency past medical history: total gastrectomy due to stomach cancer 3 years ago

  • Isolated bladder metastasis from stomach cancer Brief review of Isolated bladder metastases from stomach cancer Extremely r

  • F/65 Chief complaint: known systemic lupus erythematosus patient These are images from contrast-enhanced CT. There is an abn

  • Budd-chiari syndrome with veno-veno collateral due to idiopathic occlusion of right hepatic vein Brief review of Budd-chiari

  • M/33 Chief complaint: received hormonal (steroid) therapy for aplastic anemia

  • Hepatic adenomas Brief review of hepatic adenoma Radiologic-pathologic correlation Rich in fat Hypere

  • M/82 Chief complaint : frequent watery diarrhea and abdomen distension Past medical history: being under long term antibiotic

  • Pseudomembranous colitis Brief review of pseudomembranous colitis Cause: overgrowth of Gram-positive Clostridium difficile

Nội dung

Nam 28 tuổi với đau HC(P) Đại tràng lên Khối cạnh ĐT kèm nhiểm Thậm nhiễm quanh ĐT Viêm ruột thừa lạc chổ Brief review of Epiploic Appendagitis Rare inflammatory and ischemic condition Results from torsion or spontaneous venous thrombosis of one of the appendices epiploicae → ischemia or infarction of the appendix epiploica & localized inflammation Sudden, severe, focal abdominal pain, mimic other conditions such as appendicitis Can be managed conservatively CT: 1- 4-cm, oval, fatty pericolic lesion with surrounding mesenteric inflammation Adjacent cecal wall thickening and compression Rarely, a central highattenuation "dot" within the inflamed appendage; corresponds to the thrombosed vein (17) Diffuse largeB-cell lymphoma Brief review of round solid mesenteric masses Malignant solid tumors have a tendency to be located near root of mesentery benign solid tumors in periphery near bowel! Metastases especially from colon, ovary (most frequent neoplasm of mesentery) Lymphoma Leiomyosarcoma (more frequent than leiomyoma) Neural tumor (neurofibroma, ganglioneuroma) Lipoma (uncommon), lipomatosis, liposarcoma Fibrous histiocytoma Hemangioma Desmoid tumor (most common primary) Figure(s) 60/M Chief complaint: jaundice, fever and chill *not hach *day Gallbladder carcinoma Brief review of gallbladder carcinoma Most common biliary cancer Associated with: (1) Gallstones in 64 - 98% Gallbladder carcinoma occurs in only 1% of all patients with gallstones! (2) Porcelain gallbladder (in - 60%) (3) Inflammatory bowel disease (predominantly ulcerative colitis) (4) Familial polyposis coli (5) Chronic cholecystitis Growth types: replacement of gallbladder by mass (37 - 70%) focal / diffuse asymmetric irregular thickening of GB wall (15 - 47%) polypoid / fungating intraluminal mass with wide base (14 25%) Differential diagnosis see note below Figure(s) 45/M Chief complaint: general weakness Addison disease caused by adrenal tuberculosis Brief review of addison disease = Primary adrenal insufficiency 90% of adrenal cortex must be destroyed! Cause: Idiopathic adrenal atrophy (60 - 70%): likely autoimmune disorder Granulomatous disease: tuberculosis, sarcoidosis Fungal infection: histoplasmosis, blastomycosis, coccidioidomycosis Adrenal hemorrhage: anticoagulation therapy, bleeding, coagulation disorders, sepsis, shock Bilateral metastatic disease (rare) Diminutive glands (in idiopathic atrophy + chronic inflammation) Enlarged glands (acute inflammation, acute hemorrhage, metastasis 10 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 ... Remittent incomplete obstruction + bacterial superinfection Multiple crescent- / stiletto-shaped filling defects within bile ducts Complication (1) Bile duct obstruction (conglomerate of worms... desquamation of epithelial bile duct lining with adenomatous proliferation of ducts + thickening of duct walls (inflammation, necrosis, fibrosis) (b) bacterial superinfection with formation of liver... 26% common hepatic duct in 14 - 37% proximal CBD in 15 - 30%, distal CBD in 30 - 50%, cystic duct in 6% Growth pattern: (1) Obstructive type (70 - 85%) U- / V-shaped obstruction with nipple, rattail,

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