Pathology - Abdomen

Question 1

Ascites

Answer 1

Abnormal accumulation of fluid in peritoneal cavity. Need to increase exposure

Abdominal haziness

Question 2

Pneumoperitoneum

Answer 2

Free air or gas in the peritoneal cavity. Best demonstrated with a horizontal beam erect chest or abdomen

Thin, crest-shaped radiolucency under dome of right hemidiaphragm

Question 3

Fibrous Adheasions

Answer 3

Fibrous band of tissue interrelates with the intestine creating a blockage

Distended loops of air-filled small intestine

Question 4

Crohn’s Disease

Answer 4

Chronic inflammation of the intestinal wall which can result in bowel obstruction

Distended loops of air-filled small intestine (cobblestone)

Question 5

Intussusception

Answer 5

Telescoping of a section of bowel into another loops creating an obstruction

Air-filled “coil-spring”

Question 6

Volvulus

Answer 6

Twisting a loop of intestine creating an obstruction

Air in Sigmoid with tapered narrowing (creats a beak)

Question 7

Ulcerative Colitis

Answer 7

Chronic disease involving inflammation of the colon

Air-filled mucosal protrusions of colon wall

Question 8

Ileus

Answer 8

Nonmechanical obstruction; ususally occurs after surgery

Air in entire dilated small and large intestine with air-fluid levels