Poster Author of 2 e-Posters
EE-084 - Complicated Meckel’s Diverticulum in Adults : Imaging Findins & Clinicopathologic correlation
EE-170 - Various Pancreatic and Peripancreatic Cystic lesions: multimodality imaging findings with pathologic correlation
Author of 2 Presentations
EE-084 - Complicated Meckel’s Diverticulum in Adults : Imaging Findins & Clinicopathologic correlation
Abstract
Objectives
Describe the radiological features of complicated Meckel’s diverticulum in adults and correlate the findings with clinical symptoms and histopathologic findings.
Background
Meckel’s diverticulum is a congenital intestinal anomaly due to incomplete obliteration of the omphalomesenteric duct. Most of the diverticula remain asymptomatic. Although often considered a disorder of childhood, it can also be diagnosed in adults. When patients present with symptoms ( GI bleeding, inflammation, obstruction), diagnosis is complicated because the features are similar to those of many other gastrointestinal conditions.
Imaging findings OR Procedure findings
A retrospective review of patients was conducted from 2005 through 2019 in our Hostpital. In a total of 22 patients, all were pathologically diagnosed with Meckel’s diverticulum. Five pediatric patients were excluded and the remaining 17 patients were included in the study. MDCT was performed in all patients and other imaging evaluations were also done. Ten patients complained of abdominal pain from diverse locations and the other seven patients presented with gastrointestinal bleeding. In the patients who had abdominal pain, eight patients were diagnosed as diverticulitis, two patients showed intestinal obstruction due to strangulation and small bowel intussusception due to Meckel’s diverticulum. In the seven patients who presented with gastrointestinal bleeding, three patients showed active bleeding from a blind pouch lesion in the small intestine which was discovered in the CT, angiography, small bowel enema and RI scans.
Conclusion
Complicated Meckel’s diverticulum in adults can appear with various manifestations. Thus, radiologists should be familiar with the possible imaging appearances to make the most accurate diagnosis.
EE-170 - Various Pancreatic and Peripancreatic Cystic lesions: multimodality imaging findings with pathologic correlation
Abstract
Objectives
To illustrate multi-modality imaging findings of uncommon and common feature of pancreatic and peripancreatic cystic lesions and correlate with pathologic findings.
Background
The frequency of incidentally found pancreatic cystic lesion(PCL) is increasing gradually. There are various cystic lesions in the pancreas, and imaging plays an essential role in early diagnosis and rapid treatment. However, since these lesions often show overlapping findings, it is very important to know what are the high risk imaging findings of lesions and what are the pros and cons according to each imaging modality.
Imaging findings OR Procedure findings
We retrospectively reviewed the imaging findings of PCLs with clinocopathologic features from 2008 through 2019. Peripancreatic lesion mimicking PCL were also reviewed. Imaging modalities such as CT, MR, ERCP, PET/CT, US and EUS were used. They were presented after being classified into groups of 1) lesions consisting mainly of cystic part, 2) solid lesion mimicking cystic lesion, 3) lesions consisting mainly of solid and partially cystic parts, 4) Peripancreatic cystic lesions mimicking PCL. Various cystic lesions include pseudocyst, mucinous nonneoplastic cyst, serous and mucinous cystic neoplasm, neuroendocrine tumor, IPMN, solid pseudopapillary neoplasm, colloid carcinoma, adenosquamous cell carcinoma, acinar cell carcinoma, sarcomatoid carcinoma, von Hippel Lindau disease, epithelial cyst of intrapancreatic accessory spleen, GIST, schwannoma, lymphangioma, paraganglioma etc.
Conclusion
Pancreatic cystic lesion(PCL) is usually found incidentally, clinically silent and similar. But, some lesions have unique radiologic imaging features and need prompt surgical or medical management. After interacting with this exhibit, the radiologist will have enhanced understanding of PCL including histopathology and radiologic features.
Presenter of 1 Presentation
EE-084 - Complicated Meckel’s Diverticulum in Adults : Imaging Findins & Clinicopathologic correlation
Abstract
Objectives
Describe the radiological features of complicated Meckel’s diverticulum in adults and correlate the findings with clinical symptoms and histopathologic findings.
Background
Meckel’s diverticulum is a congenital intestinal anomaly due to incomplete obliteration of the omphalomesenteric duct. Most of the diverticula remain asymptomatic. Although often considered a disorder of childhood, it can also be diagnosed in adults. When patients present with symptoms ( GI bleeding, inflammation, obstruction), diagnosis is complicated because the features are similar to those of many other gastrointestinal conditions.
Imaging findings OR Procedure findings
A retrospective review of patients was conducted from 2005 through 2019 in our Hostpital. In a total of 22 patients, all were pathologically diagnosed with Meckel’s diverticulum. Five pediatric patients were excluded and the remaining 17 patients were included in the study. MDCT was performed in all patients and other imaging evaluations were also done. Ten patients complained of abdominal pain from diverse locations and the other seven patients presented with gastrointestinal bleeding. In the patients who had abdominal pain, eight patients were diagnosed as diverticulitis, two patients showed intestinal obstruction due to strangulation and small bowel intussusception due to Meckel’s diverticulum. In the seven patients who presented with gastrointestinal bleeding, three patients showed active bleeding from a blind pouch lesion in the small intestine which was discovered in the CT, angiography, small bowel enema and RI scans.
Conclusion
Complicated Meckel’s diverticulum in adults can appear with various manifestations. Thus, radiologists should be familiar with the possible imaging appearances to make the most accurate diagnosis.