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.. Da Fuq is this?

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

  1. dracomalfoy

    dracomalfoy Famous Member

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    What's your diagnosis of this case?




    wtf.jpg
     

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  2. bb100

    bb100 Bronze Member

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    top arrow : air in the portal vein branches
    below arrows : air in the wall of bowel(Pneumatosis Intestinalis)
    Cause : ischemia
     


  3. lakmalDJ

    lakmalDJ Famous Member

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    Pneumobilia(upper arrow) & gallstone ileus(lower arrow)
     


  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    It can be intenstinal ileus and portal vein hypertension.
     


  5. dracomalfoy

    dracomalfoy Famous Member

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    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.
     


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