RESUMEN
A case of a bleeding Mallory-Weiss tear was detected by liver imaging and verified at endoscopy. Delayed imaging demonstrated small bowel visualization, confirming the impression of faint gastric activity observed on the initial routine scan.
Asunto(s)
Hígado/diagnóstico por imagen , Síndrome de Mallory-Weiss/diagnóstico por imagen , Anciano , Humanos , Masculino , CintigrafíaAsunto(s)
Isquemia/diagnóstico por imagen , Yeyuno/irrigación sanguínea , Lupus Eritematoso Sistémico/diagnóstico por imagen , Vasculitis/diagnóstico por imagen , Femenino , Humanos , Hidrocortisona/administración & dosificación , Isquemia/tratamiento farmacológico , Persona de Mediana Edad , RadiografíaRESUMEN
Mucosal bridges, strands of normal appearing mucosa traversing the bowel lumen from one wall to an adjacent wall, can occur in inflammatory bowel disease, usually ulcerative colitis. We report the first radiographically documented case, confirmed by colonoscopy, of multiple mucosal bridges and filiform polyps in a patient with Crohn's colitis.
Asunto(s)
Enfermedad de Crohn/diagnóstico por imagen , Mucosa Gástrica/diagnóstico por imagen , Adulto , Enfermedad de Crohn/patología , Mucosa Gástrica/patología , Humanos , Masculino , RadiografíaRESUMEN
Pneumatosis cystoides intestinalis (PCI), a disorder in which gas filled cysts develop within the bowel wall, has been associated with collagen vascular disease, usually progressive systemic sclerosis (PSS). We have extended the spectrum of collagen vascular disease associated with PCI by this report of a patient with mixed connective tissue disease (MCTD) who developed PCI and recurrent spontaneous pneumoperitoneum (SP). Possible pathogenetic mechanisms are reviewed and the management of the asymptomatic patient with pneumoperitoneum, PCI and collagen vascular disease is discussed.