Surgery, Complications, Ultrasound, CT, Emergency, Anatomy, Abdomen, Education, Acute, Education and training, Pathology
M. Fdez. del Castillo Ascanio, C. A. Marichal Hernández, N. Núñez Vila, D. Eiroa, A. Pérez Álvarez, Y. El Khatib Ghzal, S. Benítez Rivero, V. Pantoja Ortiz; Santa Cruz de Tenerife/ES
Findings and procedure details
We present different clinical emergency cases where we try to transfer the image to the operating room to expand our vision as radiologists,
and try as far as possible to give some colour to our findings: if we look a mesenteric ischemia why can't we see mesenteric congestion in red?; or why can't we see a transmural intestinal necrosis in black?.
If there are people who see colors while listening music (synesthesia),
why can't the radiologist do it with our grayscale images?
Our work aims to bring the reader closer to the reality of the image and that is why we have divided the clinical cases into 4 sections.
In each figure,
the radiological findings and their correlation with the surgical image will be described.
This work represents our personal view of the emergency abdominal radiology.
1. Hepato-biliary pathology
- Gangrenous cholecystitis (figure 1)
2. Small intestine
- Gastric necrosis due to hiatal hernia (figure 2)
- Perforated pyloric ulcus in a 6-day post-surgical appendectomy (figure 3)
- Meckel diverticulitis (figure 4)
- Perforated small bowel diverticulitis (figure 5,
- Perforated gastrojejunal bypass (figure 7)
- Small bowel obstruction due to a shell (figure 8)
- Foreign body in small bowel loops (figure 9)
- Small bowel obstruction: “faeces sign” vs foreign body? (figure 10)
- Small bowel obstruction with mesenteric congestion due to an adhesion (figure 11)
- Mesenteric ischemia (figure 12)
- Internal hernia with bowel ischemic changes and mesenteric congestion (figure 13)
- Ileal gastrointestinal tumor (figure 14)
- Necrotic ileal lymphoma (figure 15)
3. Colon and appendix
- Mesosigma abscess with an evident sigma diverticulum (figure 16)
- Colonic pneumatosis (figure 17)
- Sigma necrosis (figure 18)
- Appendicitis vs typhlitis (figure 19)
- Ileitis vs appendicitis (figure 20)
- Adnexal torsion (figure 21)
- Crural hernia with Fallopian tube (figure 22)
- Omental volvulus with omental infarct (figure 23)