Editor's quiz: GI snapshot
ANSWER
| The first 150 words of the full text of this article appear below. |
From the question on page 10.1136/gut.2007.121038
At surgery, the patient was found to have acute cholecystitis and a bezoar impacted in a duodenal diverticulum (fig 1).
Figure 1 Resected surgical specimens: distended gall bladder (upper) and a duodenal diverticulum containing a bezoar (lower).
| |||||||||
This patient had the classic clinical triad of abdominal pain, a palpable mass and haem-positive stools suggestive of intussusception. While the CT had a target sign, a typical finding in intussusception, other indications of that problem were absent. In particular, there was no oedema of the bowel wall and mesentery.1 At surgery, it was obvious that the palpable mass was in fact the gallbladder.
The CT appearance of a duodenal diverticulum is of a saccular outpouching resembling a mass interposed between the duodenum and pancreas containing air, an air–fluid level, fluid, contrast material or debris.2 Bezoars usually appear as ovoid or round intraluminal masses with a mottled
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- Vomiting and a target sign on abdominal CT
- C-W Chang, W-S Liao, S-C Shih, S-C Lin, T-E Wang, W-H Chang, and J-C Lin
Gut 2008 57: 663.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
