Bowel: Anomalies / Obstructions / Injuries

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BOARD 1
1. Example of bowel perforation with air flowing from site of injury to highest point of abdomen

BOARD 2
1. Diverticula on small bowel
2. Cross section: normal bowel
3. Cross section: bowel with diverticulum

BOARD 3
1. Anterior view: small bowel with mesentery
2. Detail: cross section of bowel and mesentery
3. Detail: cross section of bowel with serosal injury

BOARD 4
1. Progression of tear injury to bowel with adhesions: serosal tear
2. Progression of tear injury to bowel with adhesions: tear progresses to muscularis layer
3. Progression of tear injury to bowel with adhesions: full thickness tear to lumen of bowel

BOARD 5
1. Anterior view of abdomen: normal anatomy
2. Anterior view of abdomen: characteristic pathology of necrotizing enterocolitis

BOARD 6
1. Anterior view of abdomen revealing characteristic pathology of necrotizing enterocolitis
2. Cross-section of bowel revealing the microscopic bacteria responsible for the damage
3. Blood sample infected with bacteria

BOARD 7
1. Cross-section of bowel: normal anatomy
2. Blood sample: normal
3. Cross-section of bowel: visualization of microscopic bacteria responsible for the damage
4. Blood sample: infected with bacteria

BOARD 8
1. Superior mesenteric vein thrombosis causing necrosis of all small intestine and ascending colon
2. Detail of blood flow through vein
3. Constricted blood flow through vein by thrombosis

BOARD 9
1. Orientation
2. Atherosclerotic plaque
3. Necrosis of small bowel caused by thrombi in mesenteric vessels

BOARD 10
1. Orientation
2. Arterial thrombosis in cross section
3. Venous thrombosis in cross section
4. Necrosis of small bowel caused by thrombi in mesenteric vessels

BOARD 11
1. Mid gut volvulus
2. Detail of intestinal twisting and blood flow being cut off to intestine

BOARD 12
1. Abdominal adhesions
2 Bowel obstruction from adhesions

BOARD 13
1. Abdominal adhesions
2. Strangulated bowel from adhesions

BOARD 14
1. Normal peristalsis moving digested food though GI system
2. Diagramatic representation of peristalsis smooth muscle contractions
3. Dilated bowel caused by ileus
4. Ileus: bowel muscle is paralyzed and does not have peristalsis to move food through and bowel becomes dilated

BOARD 15
1. 12/26/02 CT scan of abdomen
2. Color enhancement of dilated bowel
3. Dilated bowel caused by ileus
4. Ileus: bowel muscle is paralyzed and does not have peristalsis to move food through and bowel becomes dilated

BOARD 16
1. Location of 8cm and 2cm mass on mesentery

BOARD 17
1. Laparoscopic ports: anterior view of abdomen
2. Cross section of normal mesentery and bowel
3. Cross section of lymph mass on mesentery
4. Cross section of biopsy of mass

BOARD 18
1. Midline incision on abdomen
2. Mesentery with soft tissue mass and injury to small bowel
3. Detail of perforation of bowel
4. Detail of anastomosis

BOARD 19
1. Mesentery and bowel with area of biopsy post-op
2. Cross section of mesentery and bowel with area of biopsy post-op
3. Cross section of early necrosis
4. Cross section of progression of necrosis and perforation of serosa
5. Cross section of progression of necrosis and perforation of serosa and muscularis exposing mucosa
6. Mesentery and bowel with necrosis and perforation to mucosa in bowel

BOARD 20
1-4. Intra-operative photos