Gastrointestinal Imaging Cases PDF
Preview Gastrointestinal Imaging Cases
Gastrointestinal Imaging Cases Published and Forthcoming books in the Cases in Radiology series: Body MR Cases , William Brant and Eduard de Lange Breast Imaging Cases , Catherine Appleton and Kimberly Wiele Cardiac Imaging Cases , Charles White and Joseph Jen-Sho Chen Chest Imaging Cases , Sanjeev Bhalla, Cylen Javidan-Nejad, Kristopher W. Cummings, and Andrew J. Bierhals Emergency Radiology Cases , Hani Abujudeh Gastrointestinal Imaging Cases , Angela D. Levy, Koenraad J. Mortele, and Benjamin M. Yeh Genitourinary Imaging Cases, Mark Lockhart and Rupan Sanyal Musculoskeletal Imaging Cases , Mark Anderson and Stacy Smith Neuroradiology Cases , Cliff ord Eskey, Cliff ord Belden, David Pastel, Arastoo Vossough, and Albert Yoo Nuclear Medicine Cases , Chun Kim Pediatric Imaging Cases , Ellen Chung Gastrointestinal Imaging Cases v Angela D. Levy , MD Professor of Radiology Department of Radiology Georgetown University Hospital Washington, DC Koenraad J. Mortele, MD Associate Professor of Radiology Harvard Medical School Beth Israel Deaconess Medical Center Boston , Massachusetts Benjamin M. Yeh , MD Professor of Radiology Department of Radiology and Biomedical I maging University of California , San Francisco San Francisco , California 1 3 Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Th ailand Turkey Ukraine Vietnam Oxford is a registered trademark of Oxford University Press in the UK and certain other countries. Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016 © Oxford University Press 2013 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license, or under terms agreed with the appropriate reproduction rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above. You must not circulate this work in any other form and you must impose this same condition on any acquirer. Library of Congress Cataloging-in-Publication Data Levy, Angela D. Gastrointestinal imaging cases/Angela D. Levy, Koenraad Mortele, Benjamin M. Yeh. p.; cm. — (Cases in radiology) Includes bibliographical references and indexes. ISBN 978–0–19–975943–9 (alk. paper) — ISBN 978–0–19–998220–2 (alk. paper) — ISBN 978–0–19–998221–9 (alk. paper) I. Mortele, Koenraad J. II. Yeh, Benjamin. III. Title. IV. Series: Cases in radiology. [DNLM: 1. Digestive System Diseases—diagnosis—Case Reports. 2. Diagnostic Imaging— Case Reports. WI 141] 616.3′075—dc23 2012034465 Th is material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And while this material is designed to off er accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues are constantly evolving and dose schedules for medications are being revised continually, with new side eff ects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. Th e publisher and the authors make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or effi cacy of the drug dosages mentioned in the material. Th e authors and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material. 9 8 7 6 5 4 3 2 1 Printed in the United States of America on acid-free paper For my husband, Asa, and his loving support. ADL To Dejana, who teaches me everyday the essence of life with love, and my four incredible children, Charlotte, Christophe, Mabel, and Mila. KJM To the low V/Q basketball team. BMY This page intentionally left blank Preface Modern gastrointestinal imaging integrates all currently existing imaging modali- ties including multi-detector row CT, MRI, ultrasound, scintigraphy, fl uoroscopy, and radiography for the diagnosis and management of gastrointestinal diseases. Th ese diseases occur in a wide range of organs in the abdomen and pelvis. Th ey are encountered not only during the GI rotation, but also on virtually all rotations. Th is casebook is a concise compilation of patients with classic gastrointestinal dis- eases evaluated by imaging. Th e practical teaching points in these cases are designed to be useful for practicing radiologists, radiology residents, medical students, and clinicians involved in the care of patients with gastrointestinal diseases. For convenience, the cases are organized by organ. Th ey are paginated for the reader to review the images as “unknown” followed by a discussion of the fi ndings in the case, diff erential diagnosis, pertinent teaching points on the disease process, and management. Th e text is designed to highlight the most important features of each disease process that allow it to be diagnosed based on the images provided in the case. Th is casebook is a companion and complement to our forthcoming Gastrointestinal Imaging textbook in the Oxford Rotations in Radiology Series. Th e Publisher thanks the following for their time and advice: Mark Anderson, University of Virginia Sanjeev Bhalla, Mallinckrodt Institute of Radiology, Washington University Michael Bruno, Penn State Hershey Medical Center Melissa Rosado de Christenson, St. Luke’s Hospital of Kansas City Rihan Khan, University of Arizona Angela Levy, Georgetown University Alexander Mamourian, University of Pennsylvania Stacy Smith, Brigham and Women’s Hospital vii This page intentionally left blank Contents Contributors xi Part 1. Pharynx and Esophagus 1 Part 2. Stomach 3 5 Part 3. Duodenum 67 Part 4. Small Intestine 83 Part 5. Appendix 121 Part 6. Colon, Rectum, and Anus 131 Part 7. Liver 169 Part 8. Gallbladder 237 Part 9. Bile Ducts 255 Part 10. Pancreas 277 Part 11. Spleen 321 Part 12. Mesentery and Peritoneum 339 Index of Cases 367 Index 371 ix
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