GI Pathology
Ultrasound mass seen as hypoechoic and continuous with the muscle layer of the stomach; may be a circular or oval lesion with a homogeneous texture. What would this indicate?
Intramural Benign Gastric Tumor
Splenic Enlargement
Splenomegaly
rare, lymphoid tissue, solitary or multiple
Hamartoma
Common in females, the Valsalva maneuver moves sac anteriorly
Umbilical hernia
Smooth muscle tumors may be found in many places in the body
Leiomyosarcoma
occlusion of the splenic artery segment ventricular fibrillation
Splenic infarct
The most common benign vascular neoplasm of the spleen affects men 20 and 50 years
Hemangiomas
Ascites that lacks protein and cellular materials
Transudative ascites
Found along the linea alba above the umbilicus, filled with fat, usually
Epigastric hernia
produce excessive mucin, gelatinous ascites, with tumors that cause fibrosis of tissues
Pseudomuxoma peritonei
Pt presents with high-grade fever, leukocytosis, LUQ pain and tenderness, vomiting, and referred pain to the chest or shoulder. What does it indicate?
Splenic Abscess
isolated, inhomogeneous, echogenic mass with multiple small hypoechoic areas
cavernous lymphangioma
Blood collecting in the peritoneal cavity due to trauma
Hemoperitoneum
Occurs along the linea Semilunaris and inferior to the umbilicus
Spigelian hernia
Swollen bowel, target sign, uniformly thickened walls involving all 3 layers, peristalsis is absent, sluggish
Crohns disease
blood between the capsule and the splenic parenchyma
Rare, large, anemia is usually present, metastasizes to the liver,
Angiosarcoma
Found along the linea alba below the umbilicus fat-filled usually
Hypogastric hernia
defected through the deep ring, herniation sac located anterior to the spermatic cord. identified lateral to the inferior epigastric artery
Indirect inguinal hernia
Lymphoma
Pt presents with fever, fatigue, weight loss, anemia, and increased WBC
Splenic Leukemia
Associated with Hodgkin's and non-Hodgkin's
Lymphoma
A non-reducible hernia containing bowel requires surgical emergency
related to the number of pregnancies, the Valsalva maneuver moves the sac from superior to inferior
Femoral hernia