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ABBREVIATIONS USED IN THIS BOOK

CT

computed tomogram

ERCP

endoscopic retrograde cholangiopancreatogram

MRCP

magnetic resonance cholangiopancreatogram

MRI

magnetic resonance image

UGI

upper gastrointestinal series

879

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CASE 1.37 CASE 1.38 CASE 1.39 CASE 1.40
CASE 1.41
CASE 1.42
CASE 1.43
CASE 1.44 CASE 1.45

CASE INDEX

Esophagus

Inflammatory and Ulcerative Diseases

CASE 1.1

Mild reflux esophagitis, 3

CASE 1.2

Moderate reflux esophagitis, 4

CASE 1.3

Severe reflux esophagitis, 5

CASE 1.4

Severe reflux esophagitis, 5

CASE 1.5

Feline esophagus, 6

CASE 1.6

Chronic reflux esophagitis, 7

CASE 1.7

Chronic reflux esophagitis, 7

CASE 1.8

Intramural esophageal pseudodiverticulosis, 8

CASE 1.9

Barrett esophagus stricture, 9

CASE 1.10

Barrett esophagus, 10

CASE 1.11

Barrett esophagus, 10

CASE 1.12

Glycogen acanthosis, 11

CASE 1.13

Medication-induced esophagitis, 12

CASE 1.14

Crohn esophagitis, 13

CASE 1.15

Candidiasis, 14

CASE 1.16

Candidiasis, 14

CASE 1.17

Herpes esophagitis, 15

CASE 1.18

Herpes esophagitis, 15

CASE 1.19

Cytomegalovirus esophagitis, 16

CASE 1.20

Chronic reflux esophagitis: focal stricture, 17

CASE 1.21

Chronic reflux esophagitis: long stricture, 18

Strictures

CASE 1.22

Achalasia, 20

CASE 1.23

Vigorous achalasia, 21

CASE 1.24

Carcinoma of the gastroesophageal junction

 

(pseudoachalasia), 22

CASE 1.25

Caustic (lye-induced) stricture, 23

CASE 1.26

Cicatricial pemphigoid strictures, 24

CASE 1.27

Radiation stricture, 25

CASE 1.28

Eosinophilic esophagitis, 26

CASE 1.29

Eosinophilic esophagitis, 26

CASE 1.30

Extrinsic esophageal compression by

 

lymphomatous mediastinal adenopathy, 27

Masses and Filling Defects

CASE 1.31

Normal oropharynx, 29

Benign tumors

CASE 1.32

Squamous cell carcinoma of base of tongue, 30

CASE 1.33

Leiomyoma, 31

CASE 1.34

Adenoma, 32

CASE 1.35

Inflammatory esophagogastric polyp, 33

CASE 1.36

Fibrovascular polyp, 34

Malignant tumors

Ulcerative esophageal carcinoma, 35 Polypoid esophageal adenocarcinoma, 36 Varicoid esophageal adenocarcinoma, 37 Esophageal carcinoma with hepatic metastases, 38

Infiltrative adenocarcinoma of the gastroesophageal junction, 39 Infiltrative adenocarcinoma of the gastroesophageal junction, 39

Lung cancer with metastatic esophageal invasion, 40

Esophageal lymphoma, 41 Spindle cell carcinoma, 42

Nonneoplastic filling defects

CASE 1.46

“Uphill” esophageal varices, 43

CASE 1.47

“Uphill” esophageal varices, 43

CASE 1.48

“Downhill” esophageal varices, 44

CASE 1.49

Esophageal (enteric) duplication cyst, 45

CASE 1.50

Esophageal (enteric) duplication cyst, 45

CASE 1.51

Esophageal foreign body, 46

CASE 1.52

Esophageal foreign body, 47

Diverticula

CASE 1.53 Lateral pharyngeal pouches, 49

CASE 1.54 Zenker diverticulum, 50

881

CASE 2.44 CASE 2.45 CASE 2.46 CASE 2.47 CASE 2.48 CASE 2.49 CASE 2.50 CASE 2.51
CASE 2.1 CASE 2.2 CASE 2.3 CASE 2.4 CASE 2.5 CASE 2.6 CASE 2.7 CASE 2.8 CASE 2.9 CASE 2.10 CASE 2.11 CASE 2.12 CASE 2.13 CASE 2.14 CASE 2.15
CASE 2.20 CASE 2.21 CASE 2.22
CASE 2.17

882 CASE INDEX

Diverticula (cont.)

CASE 1.55

Killian-Jamieson diverticulum, 51

CASE 1.56

Mid-esophageal traction diverticulum, 52

CASE 1.57

Epiphrenic pulsion diverticulum, 53

CASE 1.58

Epiphrenic pulsion diverticulum, 53

Miscellaneous

CASE 1.59

Nonspecific motor incoordination, tertiary

 

esophageal contractions, 55

CASE 1.60

Diffuse esophageal spasm (nutcracker

 

esophagus), 56

CASE 1.61

Muscular (A) ring, 57

CASE 1.62

Schatzki ring, 58

CASE 1.63

Esophageal web, 59

CASE 1.64

Ectopic gastric mucosa, 60

CASE 1.65

Aberrant right subclavian artery, 61

CASE 1.66

Aberrant right subclavian artery, 61

CASE 1.67

Scleroderma, 62

CASE 1.68

Scleroderma, 62

CASE 1.69

Sliding hiatal hernia, 63

CASE 1.70

Paraesophageal hernia, 64

CASE 1.71

Esophageal perforation, 65

CASE 1.72

Esophageal perforation, 65

Stomach

Inflammatory and Ulcerative Diseases

H pylori gastritis, 79 H pylori gastritis, 79

Acute erosive gastritis, 80 Benign gastric ulcer, 81

Benign gastric ulcer (Hampton line), 82 Benign linear ulcer, 83

Benign gastric sump ulcer, 84 Benign giant gastric ulcer, 85 Gastrocolic fistula, 86

Perforated benign gastric ulcer, 87 Zollinger-Ellison syndrome, 88 Zollinger-Ellison syndrome, 88 Crohn disease, 89

Ménétrier disease, 90 Ménétrier disease, 90

Masses and Filling Defects

Benign tumors

CASE 2.16 Gastric polyps, 92

Gastric polyps, 92

CASE 2.18 Fundic gland polyposis syndrome, 93 CASE 2.19 Gastrointestinal stromal tumor, 95

Intraluminal gastrointestinal stromal tumor, 96 Intraluminal gastrointestinal stromal tumor, 96 Gastric lipoma, 97

Malignant tumors

CASE 2.23

Gastric adenocarcinoma (malignant ulcer), 98

CASE 2.24

Gastric adenocarcinoma: Carman meniscus

 

sign, 99

CASE 2.25

Polypoid gastric adenocarcinoma, 100

CASE 2.26

Polypoid gastric adenocarcinoma, 100

CASE 2.27

Polypoid, infiltrative gastric adenocarcinoma,

 

101

CASE 2.28

Polypoid, infiltrative gastric adenocarcinoma,

 

101

CASE 2.29

Metastatic gastric carcinoma, 102

CASE 2.30

Gastric lymphoma (solitary), 103

CASE 2.31

Gastric lymphoma (diffuse infiltrating),

 

104–105

CASE 2.32

Gastric lymphoma (diffuse infiltrating), 104–105

CASE 2.33

Gastric lymphoma (diffuse infiltrating), 105

CASE 2.34

Gastric lymphoma (multiple submucosal

 

masses), 106

CASE 2.35

Malignant gastrointestinal stromal tumor, 107

CASE 2.36

Malignant gastrointestinal stromal tumor, 107

CASE 2.37

Metastatic melanoma, 108

Nonneoplastic filling defects

CASE 2.38

Bezoar, 109

CASE 2.39

Ectopic pancreatic rest, 110

CASE 2.40

Fundal pseudotumor: fundoplication, 111

CASE 2.41

Gastric varices, 112–113

CASE 2.42

Gastric varices, 112–113

CASE 2.43

Gastric varices, 112–113

Narrowings

Crohn disease, 115

Granulomatous gastritis (sarcoidosis), 116 Eosinophilic gastroenteritis, 117 Atrophic gastritis, 118

Caustic stricture, 119

Scirrhous gastric adenocarcinoma, 120 Scirrhous gastric adenocarcinoma, 120 Metastatic breast cancer, 121

CASE 3.43 CASE 3.44 CASE 3.45 CASE 3.46 CASE 3.47
CASE 3.1 CASE 3.2 CASE 3.3 CASE 3.4 CASE 3.5 CASE 3.6 CASE 3.7 CASE 3.8 CASE 3.9 CASE 3.10 CASE 3.11
CASE 3.39 CASE 3.40 CASE 3.41 CASE 3.42
CASE 3.37 CASE 3.38
CASE 3.31 CASE 3.32 CASE 3.33 CASE 3.34 CASE 3.35 CASE 3.36
CASE 2.69 CASE 2.70 CASE 2.71 CASE 2.72 CASE 2.73 CASE 2.74 CASE 2.75
CASE 3.19 CASE 3.20 CASE 3.21 CASE 3.22
CASE 3.23 CASE 3.24 CASE 3.25 CASE 3.26 CASE 3.27 CASE 3.28 CASE 3.29 CASE 3.30

Postoperative Stomach

CASE 2.52

Marginal ulcer, 123

CASE 2.53

Afferent loop syndrome, 124

CASE 2.54

Afferent loop syndrome, 124

CASE 2.55

Blown duodenal stump, 125

CASE 2.56

Jejunogastric intussusception, 126

CASE 2.57

Gastric remnant bezoar, 127

CASE 2.58

Postgastrectomy carcinoma, 128–129

CASE 2.59

Postgastrectomy carcinoma, 128–129

CASE 2.60

Postgastrectomy carcinoma, 130–131

CASE 2.61

Postgastrectomy carcinoma, 130–131

CASE 2.62

Bile reflux gastritis with inflammatory polyp,

 

132

CASE 2.63

Normal postoperative gastric bypass

 

examination, 133

CASE 2.64

Anastomotic leak (gastrojejunostomy) after

 

gastric bypass, 134

CASE 2.65

Staple line dehiscence after gastric bypass, 135

CASE 2.66

Internal hernia, 136–137

CASE 2.67

Internal hernia, 136–137

CASE 2.68

Obstruction of the jejunum at the

 

jejunojejunostomy, 138

Miscellaneous

Gastric diverticulum, 140 Gastric diverticulum, 140 Partial gastric diverticulum, 141 Emphysematous gastritis, 142

Intrathoracic stomach with gastric volvulus, 143 Fundal pseudotumor, 144

Pseudothickening of a normal stomach, 145

Duodenum

Inflammatory and Ulcerative Diseases

Duodenitis, 159

Pyloric channel ulcer, 160 Duodenal ulcer, 161 Duodenal ulcer, 162 Giant duodenal ulcer, 163

Perforated duodenal bulb ulcer, 164 Duodenal bulb scarring, 165 Duodenal bulb scarring, 165 Fistulous channel, 166

Postbulbar duodenal ulcer, 167 Postbulbar ulcer (Zollinger-Ellison syndrome), 168

 

CASE INDEX 883

CASE 3.12

Pancreatitis, 169

CASE 3.13

Pancreatitis, 169

CASE 3.14

Acute pancreatitis with abscess, 170

CASE 3.15

Crohn disease, 171

CASE 3.16

Crohn disease, 172

CASE 3.17

Crohn disease, 172

CASE 3.18

Adult celiac disease, 173

Masses and Filling Defects Malignant tumors

Duodenal adenocarcinoma, 175 Duodenal adenocarcinoma, 175 Ampullary adenocarcinoma, 176 Tubulovillous adenoma with high-grade dysplasia, 176

Lymphoma, 177

Lymphoma, 177

Malignant gastrointestinal stromal tumor, 178 Malignant gastrointestinal stromal tumor, 178 Multiple duodenal gastrinomas, 179 Duodenal metastases, 180

Duodenal metastases, 180 Pancreatic adenocarcinoma, 181

Benign tumors

Villous adenoma (duodenal polyp), 182 Benign duodenal polyp, 183

Fundic gland polyposis syndrome (FAP), 184 Prolapsing gastric polyps, 185

Duodenal lipoma, 186 Duodenal lipoma, 186

Nonneoplastic filling defects

Heterotopic gastric mucosa, 187

Brunner gland hyperplasia, 188

Enteric duplication cyst, 189

Flexural pseudopolyp, 190

Annular pancreas, 191

Annular pancreas, 191

Miscellaneous

Duodenal diverticula, 193

Intraluminal duodenal diverticulum, 194 Superior mesenteric artery syndrome, 195 Superior mesenteric artery syndrome, 195 Aortoenteric fistula, 196

CASE 4.62 CASE 4.63 CASE 4.64
CASE 4.49 CASE 4.50 CASE 4.51 CASE 4.52 CASE 4.53 CASE 4.54 CASE 4.55 CASE 4.56 CASE 4.57 CASE 4.58 CASE 4.59 CASE 4.60 CASE 4.61
CASE 4.1 CASE 4.2 CASE 4.3 CASE 4.4 CASE 4.5 CASE 4.6 CASE 4.7 CASE 4.8 CASE 4.9 CASE 4.10 CASE 4.11
CASE 3.51

884 CASE INDEX

Miscellaneous (cont.)

CASE 3.48 Posttraumatic duodenal rupture, 197 CASE 3.49 Posttraumatic duodenal rupture, 197 CASE 3.50 Duodenal hematoma, 198

Duodenal hematoma, 198 CASE 3.52 Pylorus torus defect, 199

Small Bowel

Masses and Filling Defects Benign tumors

Gastrointestinal stromal tumor, 211 Gastrointestinal stromal tumor, 211 Lipoma, 212

Multiple intestinal lipomas, 213 Hemangioma, 214 Hemangioma, 215

Diffuse hemangiomatosis, 216 Hamartomas (Peutz-Jeghers syndrome), 217 Hamartomas (Peutz-Jeghers syndrome), 217 Peutz-Jeghers syndrome, 218

Inflammatory fibroid polyp, 219

Malignant tumors

CASE 4.12

Carcinoid tumor, 220

CASE 4.13

Carcinoid tumor, 220

CASE 4.14

Carcinoid tumor, 221

CASE 4.15

Lymphoma, 222

CASE 4.16

Lymphoma, 222

CASE 4.17

Lymphoma, 223

CASE 4.18

Lymphoma, 224

CASE 4.19

Lymphoma, 224

CASE 4.20

Lymphoma, 225

CASE 4.21

Lymphoma, 225

CASE 4.22

Lymphoma (Hodgkin type), 226

CASE 4.23

Lymphoma (AIDS-related), 227

CASE 4.24

Primary adenocarcinoma, 228

CASE 4.25

Primary adenocarcinoma, 229

CASE 4.26

Malignant gastrointestinal stromal tumor,

 

230–231

CASE 4.27

Malignant gastrointestinal stromal tumor,

 

230–231

CASE 4.28

Malignant gastrointestinal stromal tumor, 231

CASE 4.29

Metastases, melanoma, 232

CASE 4.30

Metastases, melanoma, 232

CASE 4.31

Metastasis, melanoma, 233

CASE 4.32

Small bowel metastases, 234

CASE 4.33

Metastases, colon carcinoma, 235

CASE 4.34

Serosal metastases, appendiceal

 

adenocarcinoma, 236

CASE 4.35

Serosal metastases, appendiceal

 

adenocarcinoma, 236

Nonneoplastic filling defects

CASE 4.36 Duplication cyst, 237

CASE 4.37 Gallstone ileus, 238

CASE 4.38 Gallstone ileus, 239

CASE 4.39 Ascariasis, 240

Diffuse and Segmental Diseases Type I (thin, straight folds)

CASE 4.40 Mechanical small bowel obstruction, 244 CASE 4.41 Scleroderma, 245

CASE 4.42 Scleroderma, 245

CASE 4.43 Celiac disease (sprue), 246

Type II (thick, straight folds)

CASE 4.44 Ischemic bowel, 249

CASE 4.45 Radiation enteritis, 250

CASE 4.46 Intramural hemorrhage, 251

CASE 4.47 Hypoproteinemia, 252

CASE 4.48 Hypoproteinemia, 252

Type III (thick, nodular folds)

Crohn disease, 255 Giardiasis, 256 Whipple disease, 257 Whipple disease, 258

Eosinophilic gastroenteritis, 259 Intestinal lymphangiectasia, 260 Intestinal lymphangiectasia, 261 Nodular lymphoid hyperplasia, 262 Lymphoma, 263

Lymphoma, 264 Metastatic melanoma, 265 Systemic amyloidosis, 266 Systemic amyloidosis, 267

Common Diseases

Crohn disease, 269

Crohn disease, 270

Crohn disease, 271

CASE 4.99 CASE 4.100 CASE 4.101 CASE 4.102 CASE 4.103
CASE 5.1
CASE 5.2
CASE 5.3
CASE 5.4
CASE 5.5
CASE 5.6
CASE 5.7
CASE 5.8
CASE 5.9
CASE 5.10 CASE 5.11 CASE 5.12 CASE 5.13 CASE 5.14 CASE 5.15 CASE 5.16
CASE 5.17 CASE 5.18
CASE 5.19 CASE 5.20 CASE 5.21 CASE 5.22 CASE 5.23 CASE 5.24 CASE 5.25 CASE 5.26 CASE 5.27

CASE 4.65

Crohn disease, 271

CASE 4.66

Crohn disease, 272

CASE 4.67

Crohn disease, 272

CASE 4.68

Crohn disease, 273

CASE 4.69

Crohn disease, 273

CASE 4.70

Crohn disease, 274

CASE 4.71

Crohn disease, 275

CASE 4.72

Crohn disease, 275

CASE 4.73

Crohn disease (recurrent), 276

CASE 4.74

Crohn disease (inactive), 277

CASE 4.75

Ischemia, 278

CASE 4.76

Ischemia, 279

CASE 4.77

Ischemia, 279

CASE 4.78

Ischemia, 280

CASE 4.79

Ischemia, 280

CASE 4.80

Ischemia (with pneumatosis intestinalis and

 

portal venous gas), 281

CASE 4.81

Ischemia (benign pneumatosis intestinalis),

 

282

CASE 4.82

Ischemia (portal venous gas), 283

CASE 4.83

Ischemia (portal venous gas), 283

CASE 4.84

Closed-loop obstruction with ischemia, 284

CASE 4.85

Closed-loop obstruction with ischemia, 285

CASE 4.86

Midgut volvulus, 286

CASE 4.87

Mechanical obstruction (adhesions), 287

CASE 4.88

Mechanical obstruction (incarcerated

 

hernia), 288

CASE 4.89

Mechanical obstruction (ventral hernia), 289

CASE 4.90

Celiac disease, 290–291

CASE 4.91

Celiac disease, 290–291

CASE 4.92

Celiac disease, 292

CASE 4.93

Celiac disease (with benign stricture), 293

CASE 4.94

Celiac disease (with intussusception), 294–295

CASE 4.95

Celiac disease (with ulcerating jejunoileitis),

 

294–295

CASE 4.96

Celiac disease (with intussusception), 294–295

CASE 4.97

Celiac disease (with cavitary lymph nodes),

 

294–295

CASE 4.98

Celiac disease (with lymphoma), 294–295

Miscellaneous

Nonspecific ulcerations, 297 Mycobacterial tuberculosis, 298 Mycobacterial tuberculosis, 298 Graft-versus-host disease, 299 Graft-versus-host disease, 299

 

CASE INDEX 885

CASE 4.104

Graft-versus-host disease, 300

CASE 4.105

Intestinal nonrotation, 301

CASE 4.106

Intestinal diverticulosis, 302

CASE 4.107

Jejunal diverticulitis, 303

CASE 4.108

Hypoperfusion complex, 304

CASE 4.109

Meckel diverticulum, 305

CASE 4.110

Meckel diverticulum (enteroliths), 306

CASE 4.111

Meckel diverticulum (ectopic gastric

 

mucosa), 307

CASE 4.112

Meckel diverticulum (inverted), 308

CASE 4.113

Meckel diverticulitis, 309

CASE 4.114

Angiotensin-converting enzyme inhibitor–

 

induced angioedema, 310

CASE 4.115

Acute gastrointestinal bleed, 311

Colon

Inflammatory and Ulcerative Diseases

Ulcerative colitis, 325 Ulcerative colitis, 326 Ulcerative colitis, 326 Toxic megacolon, 327

Ulcerative colitis (acute changes), 328 Ulcerative colitis (acute changes), 328 Ulcerative colitis (with backwash ileitis), 329 Ulcerative colitis (healing), 330

Mucosal dysplasia, 331 Colitic cancer, 332 Colitic cancer, 332

Ulcerative colitis (chronic), 333 Ulcerative colitis (acute), 334 Active ulcerative colitis, 335 Chronic ulcerative colitis, 336

Inflammatory bowel disease (acute Crohn colitis), 337

Crohn disease (early), 338

Crohn colitis (aphthous and confluent ulceration), 339

Crohn colitis (with perianal abscess), 340–341 Crohn colitis, 342–343

Diverticulitis, 345

Diverticulitis, 345 Diverticulitis, 346–347 Diverticulitis, 346–347 Diverticulitis, 347 Diverticulitis, 348 Diverticulitis, 348

CASE 5.80 CASE 5.81 CASE 5.82 CASE 5.83 CASE 5.84 CASE 5.85 CASE 5.86 CASE 5.87 CASE 5.88 CASE 5.89 CASE 5.90 CASE 5.91 CASE 5.92
CASE 5.93
CASE 5.94 CASE 5.95
CASE 5.96 CASE 5.97 CASE 5.98 CASE 5.99 CASE 5.100 CASE 5.101 CASE 5.102 CASE 5.103 CASE 5.104 CASE 5.105 CASE 5.106 CASE 5.107

886 CASE INDEX

Colon (cont.)

CASE 5.28

Diverticulitis, 349

CASE 5.29

Diverticulitis (with intramural tracking), 350

CASE 5.30

Diverticulitis, 351

CASE 5.31

Diverticulitis (with phlegmon), 352

CASE 5.32

Giant sigmoid diverticulum, 353

CASE 5.33

Giant sigmoid diverticulum, 353

CASE 5.34

Appendicitis, 355

CASE 5.35

Appendicitis (retrocecal), 355

CASE 5.36

Appendicitis, 356

CASE 5.37

Appendicitis, 356

CASE 5.38

Appendicitis, 356

CASE 5.39

Appendicitis, 356

CASE 5.40

Appendicitis (acute), 357

CASE 5.41

Appendicitis (acute), 358

CASE 5.42

Appendiceal abscess, 359

CASE 5.43

Appendiceal abscess, 359

CASE 5.44

Appendicolith, 360

CASE 5.45

Ischemic colitis, 362

CASE 5.46

Ischemic colitis, 362

CASE 5.47

Ischemic colitis, 363

CASE 5.48

Ischemic colitis (superior mesenteric vein

 

thrombosis), 364

CASE 5.49

Radiation colitis, 365

CASE 5.50

Radiation colitis, 365

CASE 5.51

Pseudomembranous colitis, 366

CASE 5.52

Pseudomembranous colitis, 367

CASE 5.53

Neutropenic colitis, 368

CASE 5.54

Amebiasis, 369

CASE 5.55

Pancreatic abscess, 370

CASE 5.56

Pancreatic abscess (with pancreatico-colonic

 

fistula), 371

CASE 5.57

Scleroderma, 372

CASE 5.58

Mastocytosis, 373

CASE 5.59

Epiploic appendagitis, 374

Masses and Filling Defects

Benign tumors

CASE 5.60

Polyp, pedunculated, 376

CASE 5.61

Polyp, pedunculated, 376

CASE 5.62

Polyp, pedunculated, 376

CASE 5.63

Polyp, 377

CASE 5.64

Polyp, 377

CASE 5.65

Polyp (large adenomatous), 378

CASE 5.66

Villous adenoma, 379

CASE 5.67

Villous adenoma, 379

CASE 5.68

Flat polyp (adenoma), 380

CASE 5.69

Flat polyp (adenoma), 380

CASE 5.70

Adenoma to carcinoma, 381

CASE 5.71

Peutz-Jeghers syndrome, 382–383

CASE 5.72

Polyposis syndrome (FAP), 384–385

CASE 5.73

Polyposis syndrome (FAP), 384–385

CASE 5.74

Polyposis syndrome (FAP), 384–385

CASE 5.75

Polyposis syndrome (FAP), 384–385

CASE 5.76

Polyposis syndrome (juvenile), 386

CASE 5.77

Lipoma, 388

CASE 5.78

Lipoma, 389

CASE 5.79

Intussuscepting colonic lipoma, 390

Malignant tumors

Appendiceal carcinoid, 391 Polypoid colon cancer, 392 Polypoid colon cancer, 392 Colon cancer, 393 Annular carcinoma, 394 Annular carcinoma, 394 Annular carcinoma, 395 Annular carcinoma, 395

Diverticulosis (benign wall thickening), 396 Villous adenoma, 397

Villous adenoma, 397

Ulcerative colitis (chronic with cancers), 398 Carcinoma (with colocolic intussusception), 399

Carcinoma (with colocolic intussusception), 399

Rectal cancer (localized), 400

Rectal cancer (resectable, preoperative radiation), 401

Colon cancer (invasive), 402 Colon cancer (perforated), 403 Colon cancer (perforated), 404

Villous adenoma (adenocarcinoma), 405 Colorectal cancer (recurrent), 406 Colorectal cancer (recurrent), 407 Colorectal cancer (metastatic), 408 Gastric cancer (colon extension), 409 Serosal metastases, 410

Non-Hodgkin lymphoma, 411 Non-Hodgkin lymphoma, 411 Lymphoma, 412

 

 

 

CASE INDEX 887

CASE 5.108

Lymphoma, 412

Miscellaneous

CASE 5.109

Multifocal lymphoma, 413

CASE 5.145

Cathartic colon, 446

 

 

CASE 5.146

Peritoneal extravasation, 447

Nonneoplastic masses and filling defects

CASE 5.147

Rectal perforation, 448–449

CASE 5.110

Colitis cystica profunda, 414

CASE 5.148

Rectal perforation, 448–449

CASE 5.111

Postinflammatory polyps, 415

CASE 5.149

Pelvic lipomatosis, 450–451

CASE 5.112

Pseudopolyp, 416

CASE 5.150

Pelvic lipomatosis, 450–451

CASE 5.113

Pseudopolyp, 416

CASE 5.151

Innominate grooves, 452

CASE 5.114

Colonic diverticulum (inverted), 417

Liver

 

CASE 5.115

Lymphoid follicular pattern (normal), 418

 

Diffuse Diseases

CASE 5.116

Lymphoid follicular pattern (normal), 418

CASE 6.1

Cirrhosis, 465

CASE 5.117

Endometriosis, 419

CASE 6.2

Cirrhosis (macronodular), 466

CASE 5.118

Endometriosis, 419

CASE 6.3

Cirrhosis (with recanalized umbilical vein), 467

CASE 5.119

Endometriosis, 420

CASE 6.4

Cirrhosis (with confluent fibrosis), 468–469

CASE 5.120

Endometriosis, 421

CASE 6.5

Cardiac cirrhosis, 470

CASE 5.121

Mucocele, 422

CASE 6.6

Fatty infiltration (diffuse), 471

CASE 5.122

Mucocele (appendiceal adenocarcinoma), 423

CASE 6.7

Fatty infiltration (focal), 472

CASE 5.123

Mucocele, 424

CASE 6.8

Fatty infiltration (with focal normal liver), 473

CASE 5.124

Pneumatosis cystoides coli, 425

CASE 6.9

Hemochromatosis, 474

CASE 5.125

Pneumatosis coli, 426

CASE 6.10

Hemochromatosis (with hepatocellular

CASE 5.126

Pneumatosis coli, 426

 

carcinoma), 475

CASE 5.127

Pneumatosis coli (benign), 427

 

CASE 6.11

Hemosiderosis, 476

 

 

Obstructions and Ileus

CASE 6.12

Glycogen storage disease (von Gierke

 

disease), 477

Obstructions

 

CASE 6.13

Budd-Chiari syndrome, 478–479

CASE 5.128

Mechanical colonic obstruction, 429

CASE 6.14

Amiodarone therapy, 480

CASE 5.129

Mechanical colonic obstruction (gastric

CASE 6.15

Radiation-induced disease, 481

 

metastases), 430

 

CASE 6.16

Hereditary hemorrhagic telangiectasia, 482

CASE 5.130

Sigmoid volvulus, 431

CASE 6.17

Pseudocirrhosis, 483

CASE 5.131

Sigmoid volvulus, 431

 

 

CASE 5.132

Sigmoid volvulus, 432

Masses

 

CASE 5.133

Cecal volvulus, 433

Cysts

 

CASE 5.134

Cecal volvulus, 434

CASE 6.18

Hepatic cyst, 485

CASE 5.135

Adynamic ileus, 435

CASE 6.19

Autosomal dominant polycystic disease, 486

CASE 5.136

Cecal ileus, 436

CASE 6.20

Hemorrhagic liver cyst, 487

 

 

Disorders of Defecation

CASE 6.21

Von Meyenburg complexes, 488

CASE 6.22

Peribiliary cysts, 489

CASE 5.137

Rectal prolapse (uterine prolapse and

 

 

 

cystocele), 438

Abscesses

CASE 5.138

Rectocele (and cystocele), 439

CASE 6.23

Hepatic abscess, 491

CASE 5.139

Enterocele, 440

CASE 6.24

Amebic abscess, 492

CASE 5.140

Enterocele, 440

CASE 6.25

Echinococcal hepatic abscess, 493

CASE 5.141

Rectal intussusception, 441

CASE 6.26

Echinococcal cyst, 494

CASE 5.142

Spastic pelvic floor syndrome (anismus), 442

CASE 6.27

Echinococcal cyst, 494

CASE 5.143

Chronic rectal prolapse, 443

CASE 6.28

Candidiasis, 495

CASE 5.144

Rectal ulcer syndrome (solitary), 444

CASE 6.29

Candidiasis, 495

CASE 7.1 CASE 7.2 CASE 7.3 CASE 7.4 CASE 7.5
CASE 7.6
CASE 7.7 CASE 7.8 CASE 7.9 CASE 7.10
CASE 7.11
CASE 7.12 CASE 7.13

888 CASE INDEX

Benign tumors

CASE 6.30

Hepatic hemangioma, 497

CASE 6.31

Hemangioma, 498

CASE 6.32

Hemangioma, 499

CASE 6.33

Hemangioma, 500

CASE 6.34

Hepatic hemangioma, 501

CASE 6.35

Giant hemangioma, 502

CASE 6.36

Atypical hemangioma, 503

CASE 6.37

Atypical hemangioma, 503

CASE 6.38

Focal nodular hyperplasia, 504

CASE 6.39

Focal nodular hyperplasia, 505

CASE 6.40

Focal nodular hyperplasia, 506

CASE 6.41

Focal nodular hyperplasia, 507

CASE 6.42

Focal nodular hyperplasia, 508

CASE 6.43

Multiple focal nodular hyperplasia, 509

CASE 6.44

Focal nodular hyperplasia, 510

CASE 6.45

Hepatic adenoma, 511

CASE 6.46

Hepatic adenoma, 512

CASE 6.47

Hepatic adenoma (hemorrhagic), 513

CASE 6.48

Hepatic adenoma (ruptured), 514

CASE 6.49

Glycogen storage disease (with adenomas; von

 

Gierke disease), 515

CASE 6.50

Angiomyolipoma, 516

Malignant tumors

CASE 6.51

Dysplastic nodule with hepatocellular

 

carcinoma, 518–519

CASE 6.52

Hepatocellular carcinoma (early), 520

CASE 6.53

Focal hepatocellular carcinoma, 521

CASE 6.54

Focal hepatocellular carcinoma (intratumoral

 

fat), 522

CASE 6.55

Focal hepatocellular carcinoma (mosaic), 523

CASE 6.56

Focal hepatocellular carcinoma (mosaic), 523

CASE 6.57

Focal hepatocellular carcinoma, 524–525

CASE 6.58

Focal hepatocellular carcinoma, 526

CASE 6.59

Focal hepatocellular carcinoma (transient

 

attenuation defect), 527

CASE 6.60

Focal hepatocellular carcinoma, 528

CASE 6.61

Cystic hepatocellular carcinoma, 529

CASE 6.62

Hepatocellular carcinoma (multifocal), 530

CASE 6.63

Hepatocellular carcinoma (diffuse), 531

CASE 6.64

Hepatocellular carcinoma (advanced), 532

CASE 6.65

Hepatocellular carcinoma (recurrent), 533

CASE 6.66

Hepatocellular carcinoma (recurrent), 534

CASE 6.67

Fibrolamellar hepatocellular carcinoma, 535

CASE 6.68

Intrahepatic cholangiocarcinoma, 537

CASE 6.69

Hepatic lymphoma, 538

CASE 6.70

Intrahepatic lymphoma (posttransplant

 

lymphoproliferative disorder), 539

CASE 6.71

Epithelioid hemangioendothelioma, 540

CASE 6.72

Thorium dioxide-induced angiosarcoma, 541

CASE 6.73

Calcified metastases (colon primary), 542

CASE 6.74

Hepatic metastasis, 543

CASE 6.75

Hypervascular metastases (carcinoid), 544

CASE 6.76

Hyperechoic metastases (renal

 

adenocarcinoma), 545

Miscellaneous

CASE 6.77 Sectors, Couinaud classification, 548 CASE 6.78 Schistosomiasis, 549

CASE 6.79 Superior vena cava obstruction, 550

Bile Ducts and Gallbladder

Bile Ducts: Inflammatory Diseases

Primary sclerosing cholangitis, 563 Primary sclerosing cholangitis, 564 Primary sclerosing cholangitis, 565 Primary sclerosing cholangitis, 566 Primary sclerosing cholangitis (secondary cirrhosis), 567

Primary sclerosing cholangitis, cholangiocarcinoma, 568 Primary biliary cirrhosis, 569 Primary biliary cirrhosis, 569 AIDS cholangiopathy, 570

Ascending cholangitis (communicating hepatic abscess), 571

Liver abscesses (bacterial cholangitis), 572–573

Oriental cholangiohepatitis, 574–575 Oriental cholangiohepatitis, 575

Bile Ducts: Masses and Filling Defects

Benign filling defects

CASE 7.14 Choledocholithiasis, 577

CASE 7.15 Choledocholithiasis, 577

CASE 7.16 Choledocholithiasis, 577

CASE 7.17 Choledocholithiasis, 578

CASE 7.18 Choledocholithiasis, 578

CASE 7.19 Choledocholithiasis, 579

CASE 7.20 Pseudocalculus, 580

CASE 7.21 Papillary stenosis, 581

CASE 8.1 CASE 8.2 CASE 8.3 CASE 8.4 CASE 8.5 CASE 8.6 CASE 8.7 CASE 8.8
CASE 8.9
CASE 8.10 CASE 8.11
CASE 7.81
CASE 7.61 CASE 7.62

CASE 7.22

Ampullary carcinoma, 582

CASE 7.23

Mirizzi syndrome, 583

CASE 7.24

Extrinsic compression by adenopathy

 

(intrahepatic bile duct stones), 584

CASE 7.25

Biliary papillomatosis, 585

CASE 7.26

Biliary cystadenoma, 586

CASE 7.27

Biliary cystadenocarcinoma, 587

CASE 7.28

Biliary cystadenoma, 588

Malignant tumors

CASE 7.29

Intraductal cholangiocarcinoma, 589

CASE 7.30

Cholangiocarcinoma, 590

CASE 7.31

Cholangiocarcinoma, 591

CASE 7.32

Cholangiocarcinoma (Klatskin type), 592

CASE 7.33

Cholangiocarcinoma (Klatskin type), 593

CASE 7.34

Cholangiocarcinoma (Klatskin type), 594

CASE 7.35

Cholangiocarcinoma (infiltrative), 595

CASE 7.36

Cholangiocarcinoma with lobar atrophy, 596

CASE 7.37

Cholangiocarcinoma (intrahepatic), 597

Bile Ducts: Miscellaneous

CASE 7.38

Low insertion of cystic duct, 599

CASE 7.39

Biliary leak, 600

CASE 7.40

Choledochal cyst (type I), 601

CASE 7.41

Choledochal cyst (type I), 602

CASE 7.42

Choledochocele (type III cyst), 603

CASE 7.43

Caroli disease, 604–605

CASE 7.44

Caroli disease with adenocarcinoma, 606–607

CASE 7.45

Caroli disease, 608

Gallbladder: Inflammatory Diseases

CASE 7.46

Cholecystitis and cholelithiasis (acute), 610

CASE 7.47

Cholecystitis and cholelithiasis (acute), 610

CASE 7.48

Cholecystitis (acute), 611

CASE 7.49

Cholecystitis (gangrenous), 612

CASE 7.50

Cholecystitis (gangrenous), 612

CASE 7.51

Cholecystitis (gangrenous with pericholecystic

 

fluid), 613

CASE 7.52

Cholecystitis (acute with pericholecystic

 

hepatic abscess), 614

CASE 7.53

Cholecystitis (emphysematous), 615

CASE 7.54

Cholecystitis (emphysematous), 615

CASE 7.55

Cholecystitis (emphysematous), 616

CASE 7.56

Cholecystitis (emphysematous), 616

CASE 7.57

Cholecystitis (hemorrhagic), 617

CASE 7.58

Cholecystitis, acalculous, 618

CASE INDEX 889

CASE 7.59 Cholecystitis, acalculous, 619 CASE 7.60 Cholecystitis, chronic, 620

Porcelain gallbladder with cholelithiasis, 621 Porcelain gallbladder, 622

CASE 7.63 Milk of calcium bile, 623 CASE 7.64 Gallstone ileus, 624

Gallbladder: Masses and Filling Defects

Benign filling defects

CASE 7.65

Gallstones, 626

CASE 7.66

Gallstones (wall-echo-shadow triad), 627

CASE 7.67

Sludge, 628

CASE 7.68

Sludge (tumefactive), 629

CASE 7.69

Sludge (tumefactive), 629

CASE 7.70

Cholesterol polyp, 630

CASE 7.71

Cholesterol polyps, 631

CASE 7.72

Adenomyomatosis (diffuse), 632

CASE 7.73

Adenomyomatosis (focal), 633

CASE 7.74

Adenomyomatosis (focal), 633

Malignant tumors

CASE 7.75 Carcinoma (polypoid), 634

CASE 7.76 Carcinoma, 635

CASE 7.77 Metastases (melanoma), 636

Gallbladder: Miscellaneous

CASE 7.78 Phrygian cap, 638

CASE 7.79 Phrygian cap, 638

CASE 7.80 Wall thickening, 639

Varices, 640

Pancreas

Inflammatory Diseases

Pancreatitis (acute), 657

Pancreatitis (acute), 658

Pancreatitis (acute), 659

Pancreatitis (focal), 660

Pancreatitis (acute with necrosis), 661 Pancreatitis (acute with necrosis), 662 Pancreatitis (acute with pseudocyst), 663 Pancreatitis (acute with peripancreatic fluid), 664

Pancreatic (fluid collection with pseudoaneurysm), 665 Pancreatitis (hemorrhagic), 666 Abscess, 667

CASE 8.12 CASE 8.13 CASE 8.14 CASE 8.15 CASE 8.16 CASE 8.17 CASE 8.18

890 CASE INDEX

Pancreas (cont.)

Abscess with colon cutoff, 668 Pancreatitis (acute), 669 Pancreatitis (acute), 669 Pancreatitis (chronic), 670 Pancreatitis (chronic), 671

Pancreatitis (chronic with duct stricture), 672 Pancreatitis (chronic with fatty replacement), 673

CASE 8.19 Pancreatitis (chronic), 674–675

CASE 8.20 Pancreatitis (chronic), 674–675

CASE 8.21 Pancreatitis (chronic), 676–677

CASE 8.22 Pancreatitis (chronic), 676–677 CASE 8.23 Pancreatitis (chronic), 678 CASE 8.24 Pancreatitis (familial), 679 CASE 8.25 Chronic pseudocyst, 680

CASE 8.26 Pancreatitis (chronic with pseudoaneurysm), 681

CASE 8.27 Pancreatitis (autoimmune), 682

Masses

Solid masses

CASE 8.28

Adenocarcinoma (ductal), 684

CASE 8.29

Adenocarcinoma (ductal), 685

CASE 8.30

Adenocarcinoma (ductal), 686

CASE 8.31

Adenocarcinoma (ductal), 687

CASE 8.32

Adenocarcinoma (double duct sign), 688

CASE 8.33

Adenocarcinoma (ductal), 689

CASE 8.34

Adenocarcinoma (ductal), 690

CASE 8.35

Adenocarcinoma, 691

CASE 8.36

Adenocarcinoma (nonresectable ductal), 692

CASE 8.37

Adenocarcinoma (nonresectable ductal), 693

CASE 8.38

Adenocarcinoma (ductal), 694

CASE 8.39

Adenocarcinoma (nonresectable ductal), 695

CASE 8.40

Islet cell tumor (insulinoma), 696

CASE 8.41

Islet cell tumor (insulinoma), 697

CASE 8.42

Islet cell tumor (insulinoma), 698

CASE 8.43

Extrapancreatic islet cell tumor (gastrinoma), 699

CASE 8.44

Islet cell tumor (gastrinoma), 700–701

CASE 8.45

Metastatic islet cell tumors (metastatic

 

gastrinoma), 702

CASE 8.46

Islet cell tumor (gastrinoma), 703

CASE 8.47

Multiple islet cell tumors (multiple endocrine

 

neoplasia type 1), 704

CASE 8.48

Islet cell tumor with metastases

 

(nonhyperfunctioning), 706

CASE 8.49

Calcified islet cell carcinoma

 

(nonhyperfunctioning), 707

CASE 8.50

Islet cell carcinoma (hepatic metastases), 708

CASE 8.51

Cystic islet cell tumor, 709

CASE 8.52

Solid and papillary epithelial neoplasm, 711

CASE 8.53

Solid and papillary epithelial neoplasm, 712

CASE 8.54

Acinar cell carcinoma, 713

CASE 8.55

Primary pancreatic lymphoma, 714

CASE 8.56

Pancreatic metastases (primary renal

 

adenocarcinoma), 715

CASE 8.57

Pancreatic metastases (primary melanoma),

 

716

Cystic masses

CASE 8.58

Serous cystadenoma, 718

CASE 8.59

Indeterminate neoplasm, 719

CASE 8.60

Serous cystadenoma, 720

CASE 8.61

Serous cystadenoma, 721

CASE 8.62

Mucinous cystadenoma, 722

CASE 8.63

Mucinous cystadenocarcinoma, 723

CASE 8.64

Intraductal mucinous neoplasm (main duct),

 

724

CASE 8.65

Intraductal mucinous neoplasm (main duct),

 

725

CASE 8.66

Intraductal mucinous neoplasm (side branch),

 

726

CASE 8.67

Intraductal mucinous neoplasm (side branch),

 

727

CASE 8.68

Intraductal mucinous neoplasm (side branch),

 

728

CASE 8.69

Polycystic renal disease, 730

CASE 8.70

Von Hippel-Lindau disease, 731

Miscellaneous

CASE 8.71

Laceration or fracture, 733

CASE 8.72

Pancreas divisum, 734

CASE 8.73

Pancreas divisum, 734

CASE 8.74

Pancreas divisum with pseudocyst, 735

CASE 8.75

Annular pancreas with chronic pancreatitis,

 

736–737

CASE 8.76

Annular pancreas, 736–737

CASE 8.77

Intrapancreatic splenule, 738–739

CASE 8.78

Sarcoidosis, 740–741

Spleen

Inflammatory Diseases

CASE 9.1

Candida microabscesses, 755

CASE 9.2

Candida microabscesses and hemosiderosis, 756

CASE 9.3

Echinococcal cysts, 757

CASE 9.4

Echinococcal cysts, 757

CASE 9.5

Granulomatous infection (healed;

 

histoplasmosis), 758

CASE 9.6

Granulomatous infection (sarcoidosis), 759

Masses

Benign masses

CASE 9.7

Hemangioma, 761

CASE 9.8

Hemangioma, 761

CASE 9.9

Multiple hemangiomas, 762

CASE 9.10

Splenic cyst, 763

CASE 9.11

Epidermoid cysts, 764

CASE 9.12

Hamartoma, 765

CASE 9.13

Inflammatory pseudotumor, 766

CASE 9.14

Siderotic nodules (Gamna-Gandy bodies), 767

CASE 9.15

Infarction, 768

CASE 9.16

Infarction, 769

CASE 9.17

Pseudomass, 770

Malignant tumors

CASE 9.18 Lymphoma, 771

CASE 9.19 Lymphoma, 772

CASE 9.20 Metastases (melanoma primary), 773 CASE 9.21 Metastases (melanoma primary), 773

Miscellaneous

CASE 9.22

Subcapsular hematoma, 775

CASE 9.23

Multiple lacerations, 776

CASE 9.24

Splenosis, 777

CASE 9.25

Hemochromatosis (secondary), 778

CASE 9.26

Thorium dioxide exposure, 779

CASE 9.27

Thorium dioxide exposure, 779

CASE 9.28

Wandering spleen, 780–781

CASE 9.29

Autosplenectomy (sickle cell anemia), 782

Peritoneum and Mesentery

Fluid and Masses

Fluid

CASE 10.1 Ascites (simple), 795

CASE 10.2 Ascites (complicated), 796

 

CASE INDEX 891

CASE 10.3

Intraperitoneal abscess, 797

CASE 10.4

Hemoperitoneum, 798

CASE 10.5

Pseudomyxoma peritonei, 799

CASE 10.6

Peritoneal carcinomatosis (with omental

 

caking), 800

Masses

 

CASE 10.7

Invasive peritoneal metastases, 801

CASE 10.8

Peritoneal metastases, 802–803

CASE 10.9

Primary peritoneal mesothelioma, 804

CASE 10.10

Cystic peritoneal mesothelioma, 805

CASE 10.11

Carcinoid tumor, 806

CASE 10.12

Metastatic carcinoid tumor, 807

CASE 10.13

Retractile mesenteritis, 808

CASE 10.14

Retractile mesenteritis, 809

CASE 10.15

Desmoid tumors (Gardner syndrome), 810

CASE 10.16

Gastrointestinal stromal tumor, 811

CASE 10.17

Mesenteric non-Hodgkin lymphoma, 812

CASE 10.18

Lymphoma (treated), 813

CASE 10.19

Peritoneal tuberculosis, 814

CASE 10.20

Peritoneal tuberculosis, 814

CASE 10.21

Mycobacterium avium-intracellulare, 815

CASE 10.22

Cavitary mesenteric lymph node syndrome,

 

816

CASE 10.23

Retained surgical sponge, 817

CASE 10.24

Retained surgical sponge, abscess

 

(gossypiboma), 818

CASE 10.25

Subhepatic abscess (spilled gallstones), 819

CASE 10.26

Mesenteric cyst, 820

CASE 10.27

Obstruction of the appendix (endometriosis),

 

821

Hernias

External hernias

CASE 10.28

Inguinal (indirect), 824

CASE 10.29

Inguinal (direct), 825

CASE 10.30

Femoral, 826

CASE 10.31

Femoral, 826

CASE 10.32

Obturator (incarcerated), 827

CASE 10.33

Ventral (incisional), 828

CASE 10.34

Lateral ventral, 829

CASE 10.35

Richter, 830

CASE 10.36

Parastomal, 831

CASE 10.37

Spigelian, 832

CASE 10.38

Umbilical, 833

CASE 10.47 CASE 10.48 CASE 10.49 CASE 10.50 CASE 10.51

892 CASE INDEX

Internal hernias

CASE 10.39 Paraduodenal, 834 CASE 10.40 Paraduodenal, 834

CASE 10.41 Foramen of Winslow, 835

Diaphragmatic hernias

CASE 10.42 Bochdalek, 836

CASE 10.43 Bochdalek (right-sided), 837 CASE 10.44 Morgagni, 838

CASE 10.45 Traumatic, 839

CASE 10.46 Traumatic, 839

Miscellaneous

Pneumoperitoneum, 841

Misty mesentery (lymphoma), 842 Mesenteric amyloid deposition, 843 Epiploic appendagitis, 844–845 Omental torsion and infarction, 846