Microcolon with high position of the cecum
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1428-Microcolon with high position of the cecum
CB1428-Microcolon with high position of the cecum
Case ReportHistory
Exam
Prior Study
Findings
Findings
Abnormal examination.
Scout image: There was not free air. There were not masses or calcifications. There was dilatation of multiple bowel loops suggestive of distal bowel obstruction.
The colon was filled through its entire length, with reflux of contrast into the terminal ileum and appendix.
There is diffusely small caliber of the colon from cecum to the descending colon. The rectum is normal in size.
Filling defects: No
Presence of masses, strictures, ulcerations, or other mucosal abnormality: No
Ileocecal junction position: The ileocecal junction and the cecum are high in position
Post-evacuation radiograph showed incomplete evacuation of the colon.
Complications: None
Fluoro Dose (mGy): 0.2
Impression
No free air, pneumatosis, or other complicating features at this time.
A follow-up radiograph in 6 hours may be performed to evaluate for residual contrast in the colon.