EURORAD ESR

Case 8987

Proximal mechanical intestinal obstruction

Author(s)
Antunes C, Marques , Caseiro-Alves F.
 
Patient
female, 70 year(s)
 
 
  • Figure 1
    Abdominal radiography

    Normal findings, no signs of intestinal obstruction.

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure;
     
     
  • Figure 2
    Abdominal and Doppler ultrasound

    Transversal plane. Hypoechoic and hypervascular mass measuring 4cm in the lumen of the gastric antrum.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure;
     
     
  • Figure 3
    Upper GI series

    Prepyloric collar-shaped outpouching indicating gastric intussusception

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure;
     
     
  • Figure 4
    Upper GI series

    Rounded filling defect in the lumen of duodenal bulb, with regular outlines, measuring 4 cm and conditioning distention of this gastric segment. Limited distal progression of contrast agent with opacification of...

     
    Area of Interest: Abdomen; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure;
     
     
  • Figure 5
    Abdominal CT

    Before (a) and after (b) iv contrast administration. Polypoid soft tissue density mass in the gastric antrum, measuring 4x4 cm. Slightly heterogeneous enhancement. The lesion is prolapsing into the duodenal bulb....

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure;
     
     
Normal findings, no signs of intestinal obstruction.
 
Transversal plane. Hypoechoic and hypervascular mass measuring 4cm in the lumen of the gastric antrum.
 
Prepyloric collar-shaped outpouching indicating gastric intussusception
 
Rounded filling defect in the lumen of duodenal bulb, with regular outlines, measuring 4 cm and conditioning distention of this gastric segment. Limited distal progression of contrast agent with opacification of duodenal arch.
 
Before (a) and after (b) iv contrast administration. Polypoid soft tissue density mass in the gastric antrum, measuring 4x4 cm. Slightly heterogeneous enhancement. The lesion is prolapsing into the duodenal bulb. Gallstones.
 
 
 
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