RIU 430 Lecture Notes - Lecture 3: Epigastrium, Lesser Sac, Abdominal Wall
2 Dec 2020
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Document Summary
Gi case studies: a patient in her 60s, with a history of heavy drinking and smoking, presented to an emergency department with increasing epigastric abdominal pain linked to a motor vehicle accident three weeks earlier. She complained of left-handed weakness and a slow increase in abdominal pain over the subsequent weeks. Over the previous 48 hours, she had two episodes of emesis. An abdominal sonogram was ordered to investigate the cause of pain. the sonogram demonstrated a thickened stomach wall measuring approximately 17 mm (normal 3 mm) (figure 1). A 2. 5 3. 7-cm non peristaltic fluid collection containing debris was demonstrated in the region of the lesser sac (figures 2, 3). The pancreas was mildly heterogeneous on its superficial portion. He was referred for an elective ultrasound examination. Transabdominal ultrasound showed nodular and irregular wall thickening of the gastric antrum, measuring up to 1. 19cm in thickness. There was also associated loss of wall stratification.
