DMS 102 -Unit 4 -Part 3

Pathology of UPPER GI tract - start slide 37

Pylorospasm meaning:

delaying in emptying of stomach

Fluid filled stomach may be a result of

• Pylorospasm​

• Inflammation​

• Tumor – intrinsic (inside) or extrinsic (outside)​

• Electrolyte imbalance​

• Diabetes mellitus​

• Amyloidosis (build up of amysloid protien in organs)​

• Neurologic disease​

• Medication

Normal fluid filled stomach

• Discrete thin walls​

• Movement of food particles​

• Gas-fluid levels​

• Compressible​

• Peristalsis​

• Change in size & shape​

• Change patient position

Duplication cyst are _____ unless hemorrhage and then has debris

anechoic

A duplication cyst may cause symptoms but it depends on

• Size​

• Location​

• Histologic makeup

Duplication cyst criteria includes

• Cyst lined with alimentary tract epithelium​

• Well-developed muscular wall​

• Contiguous with stomach

a duplication cysts may arise from

pancreas or duodenum

Duplication cysts exist in the ______ curvature of the stomach

greater

Duplication cysts are more common in

females

Clincal symptoms of a duplication cysts

• High intestinal obstruction​

• Distension​

• Vomiting​

• Abdominal Pain​

  • Hemorrhage & fistula formation may occur

Fistula meaning:

abnormal connection

Duplication Cyst on US looks

• anechoic

• defined thin border

• thin inner echogenic rim

• wider outer hypoechoic rim

A duplication cyst w a solid component it may be from

hemorrhage & thickened material within the cyst​

Different diagnosis for duplication cyst

• Mesenteric or omental cyst​

• Pancreatic cyst or Pseudocyst​

• Enteric cyst​

• Renal cyst​

• Splenic cyst​

• Congenital cyst of Left Lobe Liver​

• Gastric distention

A gastric bezoar is a

intragastric mass composed of accumulated ingested material

Trichobezoars

hairballs

phytobezoars

composed of vegetable matter

concretions

composed of inorganic materials

Clinical symptoms of gastric bezoar

nausea, vomiting, crampy epigastric pain

Gastric bezoar may stimulate same symptoms as those of a

tumor

On US a gastric bezoar looks like

• a complex intraluminal mass

• mobile echogenic components in a fasting pt

• can mimic a tumor