THREAD: I enjoyed giving a talk on abdominal cases from the archives at #BIRAC19 earlier today - as promised, here are some of the cases I showed (all on @Radiopaedia)
#IDOR2019 #FOAMrad #FOAMed #WRD2019
1/11
This one had me running to the ward to try and fish a gallstone out of a stoma bag! radiopaedia.org/cases/recent-g…
#IDOR2019 #BIRAC19 #FOAMrad #FOAMed #WRD2019
2/11
This is the stone in the gall bladder on an earlier CT...
#BIRAC19 #IDOR2019 #FOAMrad #FOAMed #WRD2019
3/11
And this is it in the stoma bag with mildly dilated small bowel loops - so a self-resolved gallstone ileus...
#BIRAC19 #IDOR2019 #FOAMrad #FOAMed #WRD2019
4/11
Another case was this CT with a prior abnormal CXR...
radiopaedia.org/cases/hepatic-…
#BIRAC19 #IDOR2019 #FOAMrad #FOAMed #WRD2019
5/11
Avid enhancement in liver is pseudolesion caused by perfusion by superior vein of Sappey, one of the paraumbilical veins that communicates w/ internal thoracic and superior epigastric veins; an attempt to bypass obstructed SVC.
#BIRAC19 #IDOR2019 #FOAMrad #FOAMed #WRD2019
6/11
Named after Marie Philibert Constant Sappey 👉🏼 en.m.wikipedia.org/wiki/Marie_Phi…
#BIRAC19 #IDOR2019 #FOAMrad #FOAMed #WRD2019
7/11
This venous route also plays a role in portal hypertension and the caput medusae sign - hepatofugal flow in paraumbilical vein to shunt towards systemic circulation (portosystemic shunt).
#BIRAC19 #IDOR2019 #FOAMRad #FOAMed #WRD2019
8/11
Finally, when the ureter decides to go it’s own way. This one is trapped in the greater sciatic notch.
radiopaedia.org/cases/herniati…
#BIRAC19 #IDOR2019 #FOAMRad #FOAMed #WRD2019
9/11
Known on IVU studies (and I guess now on CT IVU studies like this one) as the curlicue ureter sign.
#BIRAC19 #IDOR2019 #FOAMRad #FOAMed #WRD2019
10/11
Share this Scrolly Tale with your friends.
A Scrolly Tale is a new way to read Twitter threads with a more visually immersive experience.
Discover more beautiful Scrolly Tales like this.