Bowel: Anomalies / Obstructions / Injuries
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BOARD 1
1. Example of bowel perforation with air flowing from site of injury to highest point of abdomen
BOARD 2
1. Diverticula on small bowel
2. Cross section: normal bowel
3. Cross section: bowel with diverticulum
BOARD 3
1. Anterior view: small bowel with mesentery
2. Detail: cross section of bowel and mesentery
3. Detail: cross section of bowel with serosal injury
BOARD 4
1. Progression of tear injury to bowel with adhesions: serosal tear
2. Progression of tear injury to bowel with adhesions: tear progresses to muscularis layer
3. Progression of tear injury to bowel with adhesions: full thickness tear to lumen of bowel
BOARD 5
1. Anterior view of abdomen: normal anatomy
2. Anterior view of abdomen: characteristic pathology of necrotizing enterocolitis
BOARD 6
1. Anterior view of abdomen revealing characteristic pathology of necrotizing enterocolitis
2. Cross-section of bowel revealing the microscopic bacteria responsible for the damage
3. Blood sample infected with bacteria
BOARD 7
1. Cross-section of bowel: normal anatomy
2. Blood sample: normal
3. Cross-section of bowel: visualization of microscopic bacteria responsible for the damage
4. Blood sample: infected with bacteria
BOARD 8
1. Superior mesenteric vein thrombosis causing necrosis of all small intestine and ascending colon
2. Detail of blood flow through vein
3. Constricted blood flow through vein by thrombosis
BOARD 9
1. Orientation
2. Atherosclerotic plaque
3. Necrosis of small bowel caused by thrombi in mesenteric vessels
BOARD 10
1. Orientation
2. Arterial thrombosis in cross section
3. Venous thrombosis in cross section
4. Necrosis of small bowel caused by thrombi in mesenteric vessels
BOARD 11
1. Mid gut volvulus
2. Detail of intestinal twisting and blood flow being cut off to intestine
BOARD 12
1. Abdominal adhesions
2 Bowel obstruction from adhesions
BOARD 13
1. Abdominal adhesions
2. Strangulated bowel from adhesions
BOARD 14
1. Normal peristalsis moving digested food though GI system
2. Diagramatic representation of peristalsis smooth muscle contractions
3. Dilated bowel caused by ileus
4. Ileus: bowel muscle is paralyzed and does not have peristalsis to move food through and bowel becomes dilated
BOARD 15
1. 12/26/02 CT scan of abdomen
2. Color enhancement of dilated bowel
3. Dilated bowel caused by ileus
4. Ileus: bowel muscle is paralyzed and does not have peristalsis to move food through and bowel becomes dilated
BOARD 16
1. Location of 8cm and 2cm mass on mesentery
BOARD 17
1. Laparoscopic ports: anterior view of abdomen
2. Cross section of normal mesentery and bowel
3. Cross section of lymph mass on mesentery
4. Cross section of biopsy of mass
BOARD 18
1. Midline incision on abdomen
2. Mesentery with soft tissue mass and injury to small bowel
3. Detail of perforation of bowel
4. Detail of anastomosis
BOARD 19
1. Mesentery and bowel with area of biopsy post-op
2. Cross section of mesentery and bowel with area of biopsy post-op
3. Cross section of early necrosis
4. Cross section of progression of necrosis and perforation of serosa
5. Cross section of progression of necrosis and perforation of serosa and muscularis exposing mucosa
6. Mesentery and bowel with necrosis and perforation to mucosa in bowel
BOARD 20
1-4. Intra-operative photos