108 results
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... in the Duodenum ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
Upper endoscopy revealed a pigmented mass in the duodenal bulb (Panel A) and two additional masses
pigmented mass in the duodenal ... portions of the duodenum ... Honc #Melanoma #Duodenum ... #EGD #Metastatic
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
connection is the duodenum ... • Should be on differential ... Sensitivity of EGD ... - If negative, EGD ... of the distal duodenum
Duodenal Mass Lesions - Differential Diagnosis
- Prolapsing Gastric Polyp
- Heterotopic Gastric Mucosa
- Brunner Gland Hyperplasia
- Lymphoid
Duodenal Mass Lesions ... - Differential ... Pseudopolyp - Duodenal ... @DrJonnys #Duodenal ... Mass #Lesions #Differential
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
Obstruction - Differential ... Hirschsprung’s Duodenal ... Obstruction #SBO #Differential
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
cysts hatch in the duodenum ... parasites #clinical #EGD
Echinostomiasis - Echinostoma Life Cycle
1) Unembroynated eggs passed in feces
2) Embryonated eggs in water
3) Miracidia hatch
7) Excyst in duodenum ... #Echinostoma #LifeCycle
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Dieulafoy lesion • Duodenum ... Lower #GIBleed #differential
Clonorchiasis - Clonorchis sinensis Life Cycle
1) Embryonated eggs passed in feces.
2) Eggs ingested by the snail
5) Excyst in duodenum ... Clonorchis #sinensis #LifeCycle
Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Lesion within the duodenum ... Lesion #GIBleed #duodenum ... #Clipping #EGD