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| Search Results for => gastric ulcer <= Result Items 1 - 20 |
| Case ID: 13505 Sample Image  Click to View  |  ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Gastric outlet obstruction from pyloric stenosis as result of anti-inflammatory induced peptic ulcers | |
| History | High NG tube output; history of multiple sclerosis, Crohn, on anti-inflammatories. | |
| Findings | Abdominal Radiographs: Paucity of abdominal bowel gas; nonspecific air-fluid level right upper quadrant CT coronal reconstruction: numerous pills in the stomach | |
| Differential Dx | Gastric dysmotility Gastric outlet obstruction (malignancy, peptic ulcer disease, Crohn) | |
| Discussion | ... (continues ...) | |
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| Contributor | David Heltzel :: National Capital Consortium -  | |
| Reviewer | Maya Sahajwalla :: National Naval Medical Center Bethesda - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 13493 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: No Topic
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| Diagnosis | Gastric outlet obstruction from benign ulcer | |
| History | This 64 y.o. woman has a 4 day history of increasing frequency of vomiting and increasing abdominal distension. She has had 3-4 weeks of intermittent nausea and vomiting during rehab for joint replacement Her vomiting increased over the last 4 days to a maximum 12 times in the last 24 hrs PMH: Crohn’s disease, MS, Bladder CA, GERD, Osteoporosis Surgeries: Cholecystectomy, R knee replacement x 2 (infected) | |
| Findings | AThere is a constricting lesion present in the pylorus with proximal distension of an atonic stomach full of a large number of retained pills and fluid. A nasogastric tube is in place within the stomach. There are surgical clips from her prior cholecystectomy. | |
| Differential Dx | • Gastroenteritis • Gastric outlet obstruction • Gastric bezoar • Gastroparesis | |
| Discussion | ... (continues ...) | |
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| Contributor | Mary Teresa M O'Donnell :: Uniformed Services University - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 13365 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Penetrating gastric ulcer (into pancreas) Helicobacter pylori gastritis | |
| History | This is a 13 y.o. boy with recurrent iron deficiency anemia since age four years, managed with chronic iron supplementation. Recent recurrence of anemia in the last 6 weeks accompanied by epigastric pain, and several episodes of emesis. Two episodes of vomiting contained blood (hematemesis). | |
| Findings | Abdominal ultrasound: Hypoechoic heterogeneous mass in the head of the pancreas extending along the body of the pancreas with reactive lymph nodes anterior to the pancreas head. Abdominal CT with contrast: Enlarged pancreatic head with edema at the junction of the head and body and disruption anteriorly. Marked gastric wall thickening and distention with a collection of fluid along the posterior stomach wall. | |
| Differential Dx | • Ulcer disease (H. pylori vs hyperacidity) • Trauma with pancreatic laceration • Walled-off perforation • Pancreatic pseudocyst • Pancreatitis | |
| Discussion | ... (continues ...) | |
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| Contributor | Lindsay M Stollings :: Childrens Hospital of Dayton, OH - | |
| Reviewer | Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 8222 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Benign Gastric Ulcer | |
| History | 50 year old African American female with no past medical history complains of burning epigastric pain one to two hours after eating a meal for the last month. States to have occasional nausea and vomiting with the pain and symptoms have increased in frequency over the last two weeks. Patient states she has had some relief with over the counter antacids but felt it was time to see a doctor who prescribed Prilosec and told her to schedule an air-contrast upper GI study. Patient denies any alcohol but has smoked a pack a day for the last 30 years | |
| Findings | Under fluoroscopic guidance an air contrast upper GI series was performed. A small ulcer is detected in the body of the stomach with smooth radial folds. This ulcer is highly suspicious of a benign gastric ulcer. The pylorus, duodenal bulb and sweep (not shown) all appear unremarkable | |
| Differential Dx | Benign Gastric Ulcer H. pylori peptic disease Gastritis Hyperparathyroidism Zollinger-Ellison syndrome | |
| Discussion | ... (continues ...) | |
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| Contributor | Cory Zachary Trivax M.D. :: - Leave Blank - - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 3064 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Benign gastric ulcers. | |
| History | This patient presented with epigastric pain, anemia, occasional nausea, vomiting and hematemesis (Film .1). Film .2 was taken 6 weeks later. Describe the lesion and give your diagnosis. | |
| Findings | (Films .1 and .2): There is a large ulcer crater on the greater curvature aspect of the distal stomach. There are multiple folds radiating to the edge of the ulcer crater. All the folds taper gradually to the edge of the crater. The crater itself extends beyond the outlines of the gastric lumen. Film .2, taken six weeks later, shows multiple radiating folds from a small collection of barium. This small collection of barium in fact is a scar from the previous ulceration. This was proven on endoscopy. The barium examination is equivocal in terms of whether or not healing is complete. (Films courtesy of Dr. D.G. Mather). | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | Gastrointestinal Learning File - © ACR :: ACR Learning File® - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 2998 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pneumoperitoneum secondary to a perforated gastric ulcer. Other examples of free air are included. | |
| History | This middle-aged man presented with a four hour history of acute abdominal pain. On physical examination the abdomen was rigid. Review Films .1 .3 first. | |
| Findings | There is dilatation of multiple small bowel loops. The serosal surface of the bowel can be easily identified, particularly in the periphery of the abdominal cavity. There is air outlining the edge of the liver and triangular shaped collections of air in between bowel loops can be seen to the left of S1 and just above the symphysis pubis. At surgery the patient had a perforated gastric ulcer. | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | Gastrointestinal Learning File - © ACR :: ACR Learning File® - | |
| Reviewer | James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 2979 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Large gastric ulcer on plain film. | |
| History | This 58-year-old man presented with a one month history of epigastric pain associated with weight loss. Review Film .1 first and identify the abnormal gas collection. | |
| Findings | There is an abnormal gas collection medial to the stomach with associated mass effect on the lesser curvature. Incidentally identified is a small focus of radiodensity in the right mid-abdomen which is not of clinical significance. An upper GI series (Film .2) demonstrates a large gastric ulcer along the lesser curvature of the stomach. Surgery was performed and the ulcer was benign. | |
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | Gastrointestinal Learning File - © ACR :: ACR Learning File® - | |
| Reviewer | :: - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 2659 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Gastric Ulcers - Benign or Malignant | |
| History | A 48-year-old white male smoker presented with intermittent epigastric pain exacerbated by eating. | |
| Findings | ||
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | Paul J Cunningham :: Madigan Army Medical Center - | |
| Reviewer | :: - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| Case ID: 2242 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Malignant Gastric Ulcer | |
| History | Long standing GERD | |
| Findings | ||
| Differential Dx | ||
| Discussion | ... (continues ...) | |
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| Contributor | James G. Smirniotopoulos, M.D. :: Uniformed Services University - | |
| Reviewer | :: - Case Accepted: 2010-04-14 08:03:55-04 :: Revised: :: Submitted: | |
| 9 Search Results for => gastric ulcer <= Result Items 1 - 20 |
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