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Mistakes in acute abdominal CT and how to avoid them

Hameed Rafiee, Stuart Taylor

Summary

AI Generated

This article identifies ten common mistakes made when requesting and interpreting abdominal CT for gastrointestinal and hepatobiliary pathology in acute abdominal conditions.

  • Abdominal CT is one of the most frequently performed imaging tests for acute abdominal pathology investigation.
  • Multiple pitfalls exist in both requesting abdominal CT studies and interpreting their findings that clinicians and radiologists should recognize.
  • The article focuses specifically on errors related to gastrointestinal tract and hepatobiliary pathology.
  • The discussion draws from available literature and the authors' clinical experience.
  • This material is relevant for clinicians and radiologists involved in ordering or interpreting abdominal CT imaging.
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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Busireddy KK, et al. Pancreatitis—imaging approach. World J Gastrointest Pathophysiol 2014; 5: 252–270. [Link]
2.
Artigas JM, et al. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings. Radiographics 2013; 33: 1453–1470. [Link]
3.
Weinstein S, et al. Multidetector CT of the postoperative colon: review of normal appearances and common complications. Radiographics 2013; 33: 515–532. [Link]
4.
Moschetta M, et al. Multi-detector CT features of acute intestinal ischemia and their prognostic correlations. World J Radiol 2014; 6: 130–138. [Link]
5.
Furukawa A, et al. CT diagnosis of acute mesenteric ischaemia from various causes. AJR 2009; 192: 408–416. [Link]
6.
Duran R, et al. Multidetector CT features of mesenteric vein thrombosis. Radiographics 2012; 32: 1503–1522. [Link]
7.
Sharma R, et al. Intestinal tuberculosis versus Crohn’s disease: clinical and radiological recommendations. Indian J Radiol Imaging 2016; 26: 161–172. [Link]
8.
DiLauro S and Crum-Cianflone NF. Ileitis: when it is not Crohn’s disease. Curr Gastroenterol Rep 2010; 12: 249–258. [Link]
9.
Elsayes KM, et al. Imaging manifestations of Meckel’s diverticulum. AJR 2007; 189: 81–88. [Link]
10.
Lips LMJ, et al. Sigmoid cancer versus chronic diverticular disease: differentiating features at CT colonography. Radiology 2015; 275: 127–135. [Link]
11.
Kamaya A, et al. Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics 2011; 31: 2021–2034. [Link]
12.
Barakos JA, et al. Cholelithiasis: evaluation with CT. Radiology 1987; 162: 415–418. [Link]
13.
Ramamurthy NK, et al. Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR 2013; 200: 1244–1253. [Link]

Abstract

Abdominal CT (computed tomography) is among the most common imaging tests performed for the investigation of acute abdominal pathology. There are many pitfalls that clinicians and radiologists should be aware of when requesting these studies and interpreting the findings. This article covers ten mistakes frequently made with abdominal CT, focusing on gastrointestinal tract and hepatobiliary pathology. These mistakes and their discussions are based on the available literature where possible and thereafter on our clinical experience.

Topics

Radiology & Imaging

Citation

Rafiee H and Taylor S. Mistakes in acute abdominal CT and how to avoid them. UEG Education 2017; 17: 18–23.

Published

2024

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Oesophageal cancer with Massimiliano di Pietro (Part 1)

Massimiliano di Pietro, Pradeep Mundre

Summary

AI Generated

Summary is not available for this content yet.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Digestive Oncology Endoscopy Oesophagus

Published

2025

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UEG Podcast Episode
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The future of immunotherapy → are surgeons obsolete soon? with Jeroen Dekervel

Jeroen Dekervel, Pradeep Mundre

Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Digestive Oncology

Published

2026

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

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Jacques J. Bergman Jacques J. Bergman, Roos E. Pouw, Eva Verheij

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UEG Mistakes In Articles
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Mistakes in inflammatory bowel disease and reproduction and how to avoid them

C. Janneke van der Woude, Shannon Kanis

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Busireddy KK, et al. Pancreatitis—imaging approach. World J Gastrointest Pathophysiol 2014; 5: 252–270. [Link]
2.
Artigas JM, et al. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings. Radiographics 2013; 33: 1453–1470. [Link]
3.
Weinstein S, et al. Multidetector CT of the postoperative colon: review of normal appearances and common complications. Radiographics 2013; 33: 515–532. [Link]
4.
Moschetta M, et al. Multi-detector CT features of acute intestinal ischemia and their prognostic correlations. World J Radiol 2014; 6: 130–138. [Link]
5.
Furukawa A, et al. CT diagnosis of acute mesenteric ischaemia from various causes. AJR 2009; 192: 408–416. [Link]
6.
Duran R, et al. Multidetector CT features of mesenteric vein thrombosis. Radiographics 2012; 32: 1503–1522. [Link]
7.
Sharma R, et al. Intestinal tuberculosis versus Crohn’s disease: clinical and radiological recommendations. Indian J Radiol Imaging 2016; 26: 161–172. [Link]
8.
DiLauro S and Crum-Cianflone NF. Ileitis: when it is not Crohn’s disease. Curr Gastroenterol Rep 2010; 12: 249–258. [Link]
9.
Elsayes KM, et al. Imaging manifestations of Meckel’s diverticulum. AJR 2007; 189: 81–88. [Link]
10.
Lips LMJ, et al. Sigmoid cancer versus chronic diverticular disease: differentiating features at CT colonography. Radiology 2015; 275: 127–135. [Link]
11.
Kamaya A, et al. Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics 2011; 31: 2021–2034. [Link]
12.
Barakos JA, et al. Cholelithiasis: evaluation with CT. Radiology 1987; 162: 415–418. [Link]
13.
Ramamurthy NK, et al. Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR 2013; 200: 1244–1253. [Link]

Abstract

Inflammatory bowel disease (IBD) is a chronic relapsing gastrointestinal disease, often affecting young people during their fertile years. The chronic character of IBD means that lifelong medical treatment is often required. As such, it is not surprising that questions often arise about fertility and pregnancy in patients with IBD. The most important risk factor for adverse pregnancy outcomes in IBD patients is the presence of disease activity during pregnancy. Indeed, negative pregnancy outcomes (e.g. spontaneous abortion, preterm delivery and low birth weight) are associated with disease activity at the time of conception and during pregnancy.

Topics

IBD Primary Care

Citation

 Cite this article as: Kanis SL and van der Woude CJ. Mistakes in inflammatory bowel disease and reproduction and how to avoid them. UEG Education 2016: 16: 20–23.

Published

2024

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

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Mistakes in coeliac disease diagnosis and how to avoid them

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UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

Jacques J. Bergman, Roos E. Pouw, Eva Verheij

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Busireddy KK, et al. Pancreatitis—imaging approach. World J Gastrointest Pathophysiol 2014; 5: 252–270. [Link]
2.
Artigas JM, et al. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings. Radiographics 2013; 33: 1453–1470. [Link]
3.
Weinstein S, et al. Multidetector CT of the postoperative colon: review of normal appearances and common complications. Radiographics 2013; 33: 515–532. [Link]
4.
Moschetta M, et al. Multi-detector CT features of acute intestinal ischemia and their prognostic correlations. World J Radiol 2014; 6: 130–138. [Link]
5.
Furukawa A, et al. CT diagnosis of acute mesenteric ischaemia from various causes. AJR 2009; 192: 408–416. [Link]
6.
Duran R, et al. Multidetector CT features of mesenteric vein thrombosis. Radiographics 2012; 32: 1503–1522. [Link]
7.
Sharma R, et al. Intestinal tuberculosis versus Crohn’s disease: clinical and radiological recommendations. Indian J Radiol Imaging 2016; 26: 161–172. [Link]
8.
DiLauro S and Crum-Cianflone NF. Ileitis: when it is not Crohn’s disease. Curr Gastroenterol Rep 2010; 12: 249–258. [Link]
9.
Elsayes KM, et al. Imaging manifestations of Meckel’s diverticulum. AJR 2007; 189: 81–88. [Link]
10.
Lips LMJ, et al. Sigmoid cancer versus chronic diverticular disease: differentiating features at CT colonography. Radiology 2015; 275: 127–135. [Link]
11.
Kamaya A, et al. Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics 2011; 31: 2021–2034. [Link]
12.
Barakos JA, et al. Cholelithiasis: evaluation with CT. Radiology 1987; 162: 415–418. [Link]
13.
Ramamurthy NK, et al. Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR 2013; 200: 1244–1253. [Link]

Abstract

Barrett’s oesophagus is a premalignant condition of the distal oesophagus predisposing to oesophageal adenocarcinoma. Given the potential for malignant progression and the poor prognosis of eosophageal adenocarcinoma when diagnosed at a symptomatic stage, patients with known Barrett oesophagus undergo regular endoscopic surveillance to detect neoplastic progression at an early and preferably endoscopically, treatable stage. Endoscopic management of early Barrett oesophagus neoplasia consists of a combination of endoscopic imaging, endoscopic resection and endoscopic ablation. Below we discuss a number of mistakes that are frequently made when managing Barrett oesophagus neoplasia and how to avoid them. Much of this discussion draws on existing guidelines (for background reading, check the ESGE Barrett oesophagus guideline), but in many instances the underlying evidence (even in the guideline) is missing and therefore many of our practically driven recommendations are based on common sense and our experience in this field.


Topics

Oesophagus

Citation

Verheij EPD, Pouw RE and Bergman JJ. Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them. UEG Education 2021; 21: 35–39.

Published

2021

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

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Roberto De Giorgio Roberto De Giorgio, Giacomo Caio, Umberto Volta

UEG Podcast Episode
Journal Podcast
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What are the steps for a successful clinical research career? The voyage to Ithaca

Katarzyna Pawlak 1, Enrique de-Madaria 2

Affiliations

1 Department Gastroenterology, Endoscopy Unit, Hospital of the Ministry of Interior and Administration, Szczecin, Poland

2 Hospital General Universitario de Alicante, Alicante, Spain

Summary

AI Generated

Summary is not available for this content yet.

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Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Education & Training

Published

2021

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Mistakes in inflammatory bowel disease and reproduction and how to avoid them

Mistakes in inflammatory bowel disease and reproduction and how to avoid them

C. Janneke van der Woude C. Janneke van der Woude, Shannon Kanis

Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

Jacques J. Bergman Jacques J. Bergman, Roos E. Pouw, Eva Verheij

What are the steps for a successful clinical research career? The voyage to Ithaca

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Mistakes in coeliac disease diagnosis and how to avoid them

Mistakes in coeliac disease diagnosis and how to avoid them

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UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Mistakes in coeliac disease diagnosis and how to avoid them

Roberto De Giorgio 1, Giacomo Caio 1, Umberto Volta 1

Affiliations

1 University of Bologna, Italy

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Busireddy KK, et al. Pancreatitis—imaging approach. World J Gastrointest Pathophysiol 2014; 5: 252–270. [Link]
2.
Artigas JM, et al. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings. Radiographics 2013; 33: 1453–1470. [Link]
3.
Weinstein S, et al. Multidetector CT of the postoperative colon: review of normal appearances and common complications. Radiographics 2013; 33: 515–532. [Link]
4.
Moschetta M, et al. Multi-detector CT features of acute intestinal ischemia and their prognostic correlations. World J Radiol 2014; 6: 130–138. [Link]
5.
Furukawa A, et al. CT diagnosis of acute mesenteric ischaemia from various causes. AJR 2009; 192: 408–416. [Link]
6.
Duran R, et al. Multidetector CT features of mesenteric vein thrombosis. Radiographics 2012; 32: 1503–1522. [Link]
7.
Sharma R, et al. Intestinal tuberculosis versus Crohn’s disease: clinical and radiological recommendations. Indian J Radiol Imaging 2016; 26: 161–172. [Link]
8.
DiLauro S and Crum-Cianflone NF. Ileitis: when it is not Crohn’s disease. Curr Gastroenterol Rep 2010; 12: 249–258. [Link]
9.
Elsayes KM, et al. Imaging manifestations of Meckel’s diverticulum. AJR 2007; 189: 81–88. [Link]
10.
Lips LMJ, et al. Sigmoid cancer versus chronic diverticular disease: differentiating features at CT colonography. Radiology 2015; 275: 127–135. [Link]
11.
Kamaya A, et al. Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics 2011; 31: 2021–2034. [Link]
12.
Barakos JA, et al. Cholelithiasis: evaluation with CT. Radiology 1987; 162: 415–418. [Link]
13.
Ramamurthy NK, et al. Out of sight but kept in mind: complications and imitations of dropped gallstones. AJR 2013; 200: 1244–1253. [Link]

Abstract

Coeliac disease is an autoimmune disorder triggered by gluten, which activates an immune reaction against the autoantigen tissue transglutaminase (TG2) in genetically predisposed subjects. Genetic susceptibility to coeliac disease has been proven by its close linkage with major histocompatibility complex (MHC) class II human leukocyte antigen (HLA) DQ2 and DQ8 haplotypes. The identification of biomarkers for coeliac disease (e.g. endomysial antibodies [EmA] and antibodies to TG2 [anti-TG2]) has changed the epidemiology of coeliac disease from being a rare to a frequent condition, with an expected prevalence of 1% in the worldwide population. Coeliac disease can be difficult to diagnose because symptoms vary from patient to patient, and the majority of patients who have coeliac disease remain undiagnosed. Small intestinal biopsy remains the gold standard for coeliac disease diagnosis, and a delayed diagnosis in the elderly can be considered a risk factor for complications. Complicated coeliac disease is not so frequent, but for those who have it, the prognosis is very poor, with a low rate of survival after 5 years.

Topics

Small Intestine & Nutrition

Published

2024

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Roberto De Giorgio Roberto De Giorgio, Giacomo Caio, Umberto Volta

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