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Afferent Roux limb of small bowel

Masterson JHM - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Afferent Roux limb of small bowel

History: 51 year old female with morbid obesity, hyperlipidemia, GERD. Post-operative day #1 for laparoscopic Roux-en-Y gastric bypass and normal post-operative course presenting for routine swallow study.

Findings: Slow filling well-circumscribed region with a air fluid level distal to pouch. Area began to fill with contrast soon after contrast flowed from the pouch through the small bowel. Region described was in continuity with small bowel.

Ddx: Iatrogenic Diverticula Pre-surgical small bowel Diverticula Afferent limb of small bowel

Dxhow: Attending surgeon described post-surgical anatomy consistent with diagnosis

Exam: Non-febrile, normotensive, HR between 60-100 Abdomen: Approximated wound edges, surgical incisions clean/dry/intact, two JP drains with serosanguinous fluid, decreased bowel sounds, appropriate abdominal tenderness

No MeSH data available.


Contrast enhanced swallow study showing a normal esophageal transit with appropriate narrowing of the gastro-esophageal junction.  The contrast fills the pouch and small bowel without extravasation.  A contrast enhanced area just distal to the pouch is in continuity with the small bowel.  It slowly fills with contrast and demonstrates an air-fluid level.
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MPX1358_synpic41956: Contrast enhanced swallow study showing a normal esophageal transit with appropriate narrowing of the gastro-esophageal junction. The contrast fills the pouch and small bowel without extravasation. A contrast enhanced area just distal to the pouch is in continuity with the small bowel. It slowly fills with contrast and demonstrates an air-fluid level.


Afferent Roux limb of small bowel

Masterson JHM - MedPix (2008)

Contrast enhanced swallow study showing a normal esophageal transit with appropriate narrowing of the gastro-esophageal junction.  The contrast fills the pouch and small bowel without extravasation.  A contrast enhanced area just distal to the pouch is in continuity with the small bowel.  It slowly fills with contrast and demonstrates an air-fluid level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1358&req=5

MPX1358_synpic41956: Contrast enhanced swallow study showing a normal esophageal transit with appropriate narrowing of the gastro-esophageal junction. The contrast fills the pouch and small bowel without extravasation. A contrast enhanced area just distal to the pouch is in continuity with the small bowel. It slowly fills with contrast and demonstrates an air-fluid level.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Afferent Roux limb of small bowel

History: 51 year old female with morbid obesity, hyperlipidemia, GERD. Post-operative day #1 for laparoscopic Roux-en-Y gastric bypass and normal post-operative course presenting for routine swallow study.

Findings: Slow filling well-circumscribed region with a air fluid level distal to pouch. Area began to fill with contrast soon after contrast flowed from the pouch through the small bowel. Region described was in continuity with small bowel.

Ddx: Iatrogenic Diverticula Pre-surgical small bowel Diverticula Afferent limb of small bowel

Dxhow: Attending surgeon described post-surgical anatomy consistent with diagnosis

Exam: Non-febrile, normotensive, HR between 60-100 Abdomen: Approximated wound edges, surgical incisions clean/dry/intact, two JP drains with serosanguinous fluid, decreased bowel sounds, appropriate abdominal tenderness

No MeSH data available.