Crohn’s Disease

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Abdominal Wall Reconstruction

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Inflammatory Bowel Disease: Ulcerative Colitis

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Anorectal Abscess and Fistula

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Benign Tumors

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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 …

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Anal and Rectal Trauma

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Diverticular Disease

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on 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…

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Intestinal Failure

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on Intestinal Failure

  Duration Reversible Examples Type 1 <28 days Yes Postoperative ileus, mechanical small-bowel obstruction Often spontaneous resolution Type 2 ≥28 days Yes Enterocutaneous fistula Often requires complex interventions and reconstructive…

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