centered image

centered image

.. Da Fuq is this?

Discussion in 'Spot Diagnosis' started by dracomalfoy, Aug 21, 2012.

  1. dracomalfoy

    dracomalfoy Famous Member

    Joined:
    Jun 26, 2012
    Messages:
    130
    Likes Received:
    10
    Trophy Points:
    445
    Practicing medicine in:
    England


    What's your diagnosis of this case?



    wtf.jpg
     

    Add Reply
    dracomalfoy, Aug 21, 2012
    #1

  2. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845
    top arrow : air in the portal vein branches
    below arrows : air in the wall of bowel(Pneumatosis Intestinalis)
    Cause : ischemia
     

    bb100, Aug 21, 2012
    #2
  3. lakmalDJ

    lakmalDJ Famous Member

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    Pneumobilia(upper arrow) & gallstone ileus(lower arrow)
     

    lakmalDJ, Aug 22, 2012
    #3
  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    It can be intenstinal ileus and portal vein hypertension.
     

    Emergency medicine Mike, Aug 22, 2012
    #4
  5. dracomalfoy

    dracomalfoy Famous Member

    Joined:
    Jun 26, 2012
    Messages:
    130
    Likes Received:
    10
    Trophy Points:
    445
    Practicing medicine in:
    England
    Ans: Gallstone Ileus

    A mechanical obstruction resulting from the passage of a large Gallstone into the bowel through a cholecystoduodenal fistula. Obstruction is often at ileocecal junction.
    It Classically presents as subacute SBO in an elderly woman.

    The Gallstone ( 2.6 cm in this case ), Intestinal Ileus & the characteristic Pneumobilia ( Air in the Biliary Tree ) are clearly seen in this image.
     

    dracomalfoy, Aug 23, 2012
    #5

Share This Page

<