Clinical Presentation of RAAA
Fig. 6.1 Illustration of various types of ruptures. (a) Retroperitoneal rupture. Dorsal or dorsolateral rupture usually leads to a leak into the retroperitoneum, often causing asymmetric displacement and squeezing of…
ABDOMINAL MEDICINE
Background Scope of the Problem
Fig. 2.1 Common presenting clinical symptoms of ruptured AAA (From Azhar et al. [15]) Thus, accurate and timely diagnosis can be elusive and the initial diagnosis of these patients varied…
Lower Gastrointestinal Bleeding: Diagnosis and Management
Fig. 34.1 Colonic telangiectasia. Endoscopic views before and after argon plasma therapy Hemangiomas and vascular malformations (Figs. 34.2, 34.3, and 34.4): GI hemangiomas are uncommon benign vascular tumors. They may…
Crohn’s Disease
Fig. 15.1 “Fat creeping” phenomenon (arrow) in the small bowel in a patient with Crohn’s disease Aphthoid lesions, fissural ulcerations, cobblestone pattern Fistula Rectum is typically spared Perianal lesions Microscopic…
Anorectal Abscess and Fistula
Fig. 6.1 Abscess classification Ischioanal: Abscesses located in ischioanal fat are bordered by the sphincter muscles medially by the levator ani in the cranial aspect, and by the ischial bone…
Inflammatory Bowel Disease: Ulcerative Colitis
Gastrointestinal Diarrhea usually mixed with blood, with or without mucus Frequency Constipation in some cases of severe proctitis Urgency Tenesmus Incontinence Abdominal pain Systemic Tiredness Weight loss Fever Anorexia Extraintestinal…
Abdominal Wall Reconstruction
Fig. 38.1 Nomenclature regarding abdominal wall defects remains vague. Is this patient due to have an incisional hernia repair or a complex abdominal wall reconstruction? Recent attempts have been made…
Benign Tumors
Non-neoplastic lesions Neoplastic lesions Mesenchymal lesions Other lesions Hyperplastic polyp Adenoma Tubular adenoma Villous adenoma Tubulovillous adenoma Lipoma Endometriosis Hamartoma Juvenile polyp Peutz-Jeghers polyp Hamartoma Pneumatosis cystoides intestinalis Inflammatory polyps …
Anal and Rectal Trauma
Fig. 32.1 Cloacal deformity of the perineum with an absence of the perineal body and large communication of the vagina with the anal canal Ingested foreign bodies: Several small, sharp…
Diverticular Disease
Stage Description I Pericolic abscess or phlegmon II Pelvic, intra-abdominal, or retroperitoneal abscess III Generalized purulent peritonitis IV Generalized fecal peritonitis Table 17.2 Hansen and Stock classification [19] Stage Description…
