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Abdomen and retroperitoneum | 1.6 Gastrointestinal tract
Case 1.6.7 Duodenum and small bowel


Case of the month September 2011: Malignant duodenal and small bowel lesions:
Duodenal carcinoma with an irregular thickened duodenal wall
Malignant duodenal and small bowel lesions:
Duodenal carcinoma (PA adeno ca) causing bile duct obstruction and liver metastases
Malignant duodenal and small bowel lesions:
Duodenum carcinoma (adenocarcinoma) with a hyoechoic vascularized mass and lymphe node metastases
Malignant duodenal and small bowel lesions:
Irregular thickened duodenal wall that proved to be a duodenal carcinoma with liver metastases
Malignant duodenal and small bowel lesions:
Duodenal carcinoma with an irregular mass with an air filled lumen obstructing the common bile duct
Malignant duodenal and small bowel lesions:
B cell lymphoma with an irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
T cell lymphoma with an irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
Massisively localized thickened bowel wall that was caused by a T cell lymphoma
Malignant duodenal and small bowel lesions:
B cell lymphoma with a massive irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
Anaplastic carcinoma with thickened small bowel wall and enlarged mesenteric lymphe nodes
Pitfall:
Small bowel with a massive thickened bowel wall that could be mistaken for a lymphoma. At operation an inflamed phlegmonous hemorrhagic smal ...
Inflammation:
Bowel wall abscesses with intramural pus filled lesions with a vascularized wall
Intussusception:
Intussusception of the small bowel caused by a polyp
Intussusception:
Small bowel intussusception in a patient who also has an acute appendictis
Intussusception:
Small bowel intussusception in a patient with celiac disease
Intussusception:
Small bowel intussusception
Intussusception:
Small bowel intussusception
Obstruction and ileus:
Small bowel volvulus with obstruction. Cineloop shows dilatated small bowel loops, free peritoneal fluid and a volvulus with spiral aspect.
Obstruction and ileus:
Small bowel ileus
Obstruction and ileus:
Dilatated stomach, small bowel and colon caused by an obstructing colon tumor with to and fro movements of bowel contents
Obstruction and ileus:
Small bowel ileus caused by fecal impaction
Obstruction and ileus:
Incarcerated inguinal hernia with small bowel obstruction with dilatated bowel loops
Meckels diverticulum:
Cystic lesion in relation to the small bowel with thickened bowel wall and free fluid in the abdomen that proved to be a perforated inflamed ...
Case of the month January 2012: Meckels diverticulum:
Large inflamed Meckel's diverticulum with free peritoneal fluid
Various small bowel:
Edematous thickened small bowel wall The findings disappeared after a few weeks
Case of the month October 2012: Various small bowel:
Duodenal perforation with air and fluid between duodenum and right kidney (There is also some perirenal fluid)
Bowel wall ischemia:
Bowel wall ischemia
Case of the month September 2011: Malignant duodenal and small bowel lesions:
Duodenal carcinoma with an irregular thickened duodenal wall
Malignant duodenal and small bowel lesions:
Duodenal carcinoma (PA adeno ca) causing bile duct obstruction and liver metastases
Malignant duodenal and small bowel lesions:
Duodenum carcinoma (adenocarcinoma) with a hyoechoic vascularized mass and lymphe node metastases
Malignant duodenal and small bowel lesions:
Irregular thickened duodenal wall that proved to be a duodenal carcinoma with liver metastases
Malignant duodenal and small bowel lesions:
Duodenal carcinoma with an irregular mass with an air filled lumen obstructing the common bile duct
Malignant duodenal and small bowel lesions:
B cell lymphoma with an irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
T cell lymphoma with an irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
Massisively localized thickened bowel wall that was caused by a T cell lymphoma
Malignant duodenal and small bowel lesions:
B cell lymphoma with a massive irregular hypoechoic thickening of the bowel wall and hypervascularization
Malignant duodenal and small bowel lesions:
Anaplastic carcinoma with thickened small bowel wall and enlarged mesenteric lymphe nodes
Pitfall:
Small bowel with a massive thickened bowel wall that could be mistaken for a lymphoma. At operation an inflamed phlegmonous hemorrhagic smal ...
Inflammation:
Bowel wall abscesses with intramural pus filled lesions with a vascularized wall
Intussusception:
Intussusception of the small bowel caused by a polyp
Intussusception:
Small bowel intussusception in a patient who also has an acute appendictis
Intussusception:
Small bowel intussusception in a patient with celiac disease
Intussusception:
Small bowel intussusception
Intussusception:
Small bowel intussusception
Obstruction and ileus:
Small bowel volvulus with obstruction. Cineloop shows dilatated small bowel loops, free peritoneal fluid and a volvulus with spiral aspect.
Obstruction and ileus:
Small bowel ileus
Obstruction and ileus:
Dilatated stomach, small bowel and colon caused by an obstructing colon tumor with to and fro movements of bowel contents
Obstruction and ileus:
Small bowel ileus caused by fecal impaction
Obstruction and ileus:
Incarcerated inguinal hernia with small bowel obstruction with dilatated bowel loops
Meckels diverticulum:
Cystic lesion in relation to the small bowel with thickened bowel wall and free fluid in the abdomen that proved to be a perforated inflamed ...
Case of the month January 2012: Meckels diverticulum:
Large inflamed Meckel's diverticulum with free peritoneal fluid
Various small bowel:
Edematous thickened small bowel wall The findings disappeared after a few weeks
Case of the month October 2012: Various small bowel:
Duodenal perforation with air and fluid between duodenum and right kidney (There is also some perirenal fluid)
Bowel wall ischemia:
Bowel wall ischemia
Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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