Peritonitis and End Ileostomy By Borko Kereshi, MSIII.

Slides:

Advertisements

Similar presentations

RADIOLOGY REVIEW Plain films of abdomen.

Advertisements

”FIRST AND FINEST” Lupus Enteritis: A Pain in the Gut LT James Prim, DO LCDR Shauna O’Sullivan, DO Naval Medical Center Portsmouth.

Radiology Case Presentation By Matt Cole. Clinical Information Clinical history: 60 year old white female who presented with a 1 week history of abdominal.

In the name of GOD. In the name of GOD Abdominal Trauma & hollow viscous injury EVALUATION AND INDICATIONS FOR CELIOTOMY.

Computed Tomography II – RAD 473

1 Lotronex ® Presentation to GI Advisory Committee June 27, 2000 Hugo E. Gallo-Torres MD, PHD Medical Team Leader DGICDP CDER, FDA.

History 10 years old female patient presented to ER with severe pelviabdominal pain, the pain was severe ¬ relieved by analgesics, she complained.

Department of Surgery Ruijin Clinical Medical College Shanghai Jiao Tong University.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Alex Galifianakis Affiliation: Uniformed Services University.

SYB: Defecogram By Borko Kereshi, MSIII. The Case 32 year old female with a history of: – Chronic constipation – Straining – Irritable Bowel Syndrome.

Chest CT: Thymoma Robert A. Novelline, M.D. Scholar Professor of Radiology Massachusetts General Hospital Boston, MA.

MRI CASE Done By: Haya Al-Thuwaini Ro’aa Al-Nemer Kholoud Al-Washmi Prepared For: Dr.Halima,,

Chilaiditi Sign By Borko Kereshi, MSIII. The case History: 58 yo female with right upper pole kidney mass – Found to be Renal Cell Carcinoma – Surgical.

SYB case year old female presented to the ER with abdominal pain CT without contrast done to evaluate.

Critical Care RADIOLOGY Below the Diaphragm Pete Hersey.

ASNR 2015 Isolated Cerebellar Leptomeningeal Involvement

Stoma د. طارق العبيدي Al-Madena copy1. Colostomy: is an artificial opening made in to large bowel in order to divert feces and flatus to the exterior.

Computed tomography following surgical resection of colorectal cancer: imaging features of normal postoperative changes, complications, and tumour recurrence.

Cardiac Unknown. Case Presentation 68 year male with history of liver transplant 13 years back Presented with fatigue Underwent contrast enhanced CT (computed.

Fig. 2. Computed tomography (CT) and magnetic resonance images of 34-year-old man with right nasal tumor diagnosed as cavernous hemangioma. A. Early-phase.

Fig. 14. Computed tomography (CT) and schema of transduodenal ampullectomy. A. Schema of transduodenal ampullectomy. Different resection margins between.

Inflammatory chronic disease of the colon: How to image

Fig year-old man with CLL and transformation to DLBCL. A

3D computed tomography (CT) and CT angiography (CTA) for renal mass, performed on multidetector CT scanner. Coronal oblique reformatted image with volume.

Fig year-old woman with invasive lobular breast cancer. A

Pseudocyst. (A) Axial noncontrast CT shows a nonspecific hypodense cystic lesion in the tail of the pancreas (white arrow) with a thin rim. Patient reported.

Intestinal Mucormycosis ( and fungal liver abscess)

Trevor Rose, MD, MPH, Jamie Caracciolo, MD, MBA, Robert Gatenby, MD

FDG PET-CT of Genitourinary and Gynecologic Tumors: Overcoming the Challenges of Evaluating the Abdomen and Pelvis Leslie K. Lee, MD, Aoife Kilcoyne,

An unusual case of extensive peritoneal calcification: A case report

Coronary computed tomography angiography (CTA) obtained on a 35-year-old female presenting to an outpatient clinic with a history of unexplained syncope.

Ultrasound, Computed Tomography, and Magnetic Resonance Imaging of Ovarian Vein Thrombosis in Obstetrical and Nonobstetrical Patients Vivek Virmani,

Fig. 3. A 21-year-old female with a large mature teratoma occupying almost the entire left hemithorax. (A) Axial contrast-enhanced CT image shows a large.

John M. Kirby, FRCR, Kartik S. Jhaveri, MD, Zeev V

Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection Jill Kathleen Johnstone, MD, Manuel Garcia-Toca,

Trevor Rose, MD, MPH, Jamie Caracciolo, MD, MBA, Robert Gatenby, MD

Radiology of renal stone disease

Also known as the Gastrointestinal System

Outside the Inside: A Review of Soft-Tissue Abnormalities Seen on Thoracoabdominal Computed Tomography Susan J. Frank, MD, Shari Friedman, MD, Milana.

The Corpus Callosum: Imaging the Middle of the Road

Cross-Sectional Imaging of Nontraumatic Peritoneal and Mesenteric Emergencies Michael N. Patlas, MD, FRCPC, Abdullah Alabousi, MD, Mariano Scaglione,

Paraskevi A. Vlachou, MBChB, Martin E. O'Malley, MD

Aysel Türkvatan, MD, Ayşe Erden, MD, Mustafa Seçil, MD, Mehmet A

Staging of Pancreatic Adenocarcinoma by Imaging Studies

John M. Kirby, FRCR, Kartik S. Jhaveri, MD, Zeev V

Fig. 1. A 24-year-old male with a malignant germ cell tumor in the anterior mediastinum. (A) Coronal contrast-enhanced CT image shows a lobulated hypoattenuating.

Cross-Sectional Imaging of Small Bowel Malignancies

Cross-Sectional Imaging of Small Bowel Malignancies

Imaging Anatomy and Pathology of Extraocular Muscles in Adults

Association of non-alcoholic fatty liver disease with renal stone disease detected on computed tomography In Chul Nam, MD, Jung Hee Yoon, MD, Seung Ha.

Abdominal Extraosseous Lesions of Multiple Myeloma: Imaging Findings

Imaging of Traumatic Diaphragmatic Rupture: Evaluation of Diagnostic Accuracy at a Level 1 Trauma Centre Vincent A. Leung, MD, Michael N. Patlas, MD,

Outside the Inside: A Review of Soft-Tissue Abnormalities Seen on Thoracoabdominal Computed Tomography Susan J. Frank, MD, Shari Friedman, MD, Milana.

Hypovolemic Shock Complex in the Trauma Setting: A Pictorial Review

Ulcerative Colitis Definition

Interactive lecture Dr. Abdulrahman Alhawas, MBBS

Contrast-enhanced computed tomography (CT) of the chest; case two, 4 days after presentation. a) Axial CT image of the upper thorax at the level of the.

Follow-up contrast-enhanced computed tomography (CT) of the neck and chest; case two, 1 month following hospital discharge. a) Axial CT image of the neck.

Short case presentation

CT = computed tomography

Follow-up contrast-enhanced computed tomography (CT); case one, obtained 19 days after presentation. a) Axial CT of the neck at the level of the hyoid.

Red-flag Syncope: Spontaneous Splenic Rupture

Fig year-old woman with newly diagnosed inflammatory breast cancer. A-C. Axial fused PET-CT images of supraclavicular region, upper and mid chest.

The computed tomography demarcated the lesion and showed a necrotic change over the pancreatic tail and abnormal fluid collection over the pancreatic.

Figure 29b Ovarian immature teratoma with peritoneal metastases in a 27-year-old woman. Axial (a, b) and coronal (c) contrast-enhanced CT images show a.

Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection Jill Kathleen Johnstone, MD, Manuel Garcia-Toca,

Radiation plexopathy. Radiation plexopathy. A 67-year-old woman with a history of left breast carcinoma and radiation treatment 20 years ago who presented.

Contrast-enhanced computed tomography (CT) of the neck in case one

Computed tomography images of the abdomen of a 53-year-old man, showing ascites (denoted by *) before and after the treatment of pulmonary Mycobacterium.

Presentation transcript:

Peritonitis and End Ileostomy By Borko Kereshi, MSIII

The case 48 year old female with end-stage renal disease and history of pancreatitis. Status post colectomy for ischemic colitis. End Ileostomy placed

What do you see?

Findings End ileostomy Parastomial hernia with free fluid around ileostomy

What do you see?

Findings Thickened and enhancing peritoneum, consistent with peritonitis.

Peritonitis, cause and result Diffuse peritonitis occurs when the cause of the peritoneal inflammation is not contained or there is overwhelming infection. Generalized peritonitis can result from infective or chemically irritative causes. On CT, there is smooth peritoneal contrast enhancement

Fat stranding around the pancreatic tail. This could be part of peritonitis. Alternatively this may be secondary to focal pancreatic tail inflammation

Abnormal fluid collection anterior to liver

Coronal View Fluid!

More fluid!

References K Gordon, WK Lee, O Hennessy. Computed tomography manifestations of peritoneal diseases. Australasian Radiology. VL: 49. NO: Department of Medical Imaging, St Vincent's Hospital, University of Melbourne, Melbourne, Victoria, Australia.