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Gastroenterology Radiology Quiz Cases

51 year old woman with persistent pain and tenderness in the epigastrium.
view XRAY | case ANSWER.

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Mature adult female who had been treated for carcinoma of cervix a year before.
view XRAY | case ANSWER.

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62 year old man with a left iliac fossa mass.
view XRAY | case ANSWER.

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26 year old woman with abdominal pain and loose stool.
view XRAY | case ANSWER.

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50 year old man, binge alcohol drinker.
view XRAY | case ANSWER.

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Adult male with abdominal pain and fever.
view XRAY | case ANSWER.

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A series of views in an Indian lady with abdominal pain and night sweats.
view XRAY | case ANSWER.

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Male in his early 30's with abdominal pain and passage of mucus per rectum.
view XRAY | view XRAY | case ANSWER.

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Middle-aged woman admitted with wasting and relative abdominal distension.
view XRAY | case ANSWER.

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Adult male, history of pancreatitis, fever abdominal pain.
view XRAY | case ANSWER.

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55 year old man, originally treated for psoas abcess at the age of 24 and for a suprapubic swelling at age 35, now being re-investigated after a long period of conservative treament.
view XRAY | view XRAY | case ANSWER.

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Adult male with recent surgery.
view XRAY | case ANSWER.

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Follow-up of a 30 year old female for known chronic condition treated conservatively for the last 10 years.
view XRAY | case ANSWER.

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76 year old woman,diabetic, with recent diarrhoea.
view XRAY | view XRAY | case ANSWER.

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76 year old woman under investigation for a history of weight-loss and anaemia. Presents with acute onset of abdominal pain.
view XRAY | case ANSWER.

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40 year old male, follow-up of a condition that presented 10 years before with excess mucus in faeces.
view XRAY | case ANSWER.

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Rapid onset of abdominal pain and distension in a 68 year old man.
view XRAY | case ANSWER.

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25 year old male who had recently received a course of ampicillin for upper respiratory tract infection. Now has blood and mucus in the stool.
view XRAY | case ANSWER.

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55 year old man. Treated for 'osteomyelitis' by resection of coccyx 7 years previously; resection of peri-anal soft tissue mass 3 years ago, now with repeat of symptoms.
view XRAY | case ANSWER.

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Middle aged woman with a long history of indigestion and no history of surgery.
view XRAY | case ANSWER.

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Indian man with a drinking problem.
view XRAY | case ANSWER.

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Adult female with a macrocytic anaemia.
view XRAY | case ANSWER.

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Rapid onset of dysphagia and upper abdominal distension.
view XRAY | case ANSWER.

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28 year old man with a history of a rectal bleed.
view XRAY | case ANSWER.

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50 year old woman with a blood condition and recent cystitis.
view XRAY | case ANSWER.

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Adult female with past treatment for carcinoma of ovary.
view XRAY | case ANSWER.

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52 year old man with a history of recurrent cholangitis and surgery 5 years before.
view XRAY | case ANSWER.

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64 year old man with significant weight loss and fullness after meals.
view XRAY | case ANSWER.

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66 year old man with a 3 month history of pain in the right iliac fossa, frequent watery stools and weight loss. A fixed mass is present in the region of the right iliac fossa.
view XRAY | case ANSWER.

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Mature adult male with constipation and vague abdominal pain.
view XRAY | case ANSWER.

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Incidental finding in a young woman under investigation for dyspepsia.
view XRAY | case ANSWER.

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Adult West-Indian male with a systemic condition.
view XRAY | case ANSWER.

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60 year old woman with abdominal distension and a history of weight loss.
view XRAY | view XRAY | case ANSWER.

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65 year old woman with a known blood condition and some abdominal pain.
view XRAY | case ANSWER.

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60 year old man with a history of diarrhoea and weight loss. He was anaemic.
view XRAY | view XRAY | case ANSWER.

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Adult male with known chronic liver disease with recent adbominal distension and loss of appetite.
view XRAY | case ANSWER.

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Middle-aged woman, with recent change in bowel habit.
view XRAY | case ANSWER.

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A 26 year old woman gives a history of increasing abdominal pain with blood and mucus in the stool.
view XRAY | case ANSWER.

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26 year old man from South India with pain on defaecation.
view XRAY | case ANSWER.

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Incidental finding. No history of ingestion of toxic material. Liver function was normal.
view XRAY | case ANSWER.

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Adult male, aged 55, with abdominal pain and a swelling in the left groin.
view XRAY | view XRAY | case ANSWER.

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3 year old girl brought in by parents having swallowed something.
view XRAY | case ANSWER.

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45 year old male who had been working and living abroad in the Far East with a generous expense account, but without family.
view XRAY | case ANSWER.

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West-indian woman with sudden onset of abdominal pain followed by distension and a history of an inherited condition.
view XRAY | case ANSWER.

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Mature adult with episodes of intermittent lower abdominal pain.
view XRAY | case ANSWER.

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Male in his late teens with a chronic condition and recent painful joints.
view XRAY | case ANSWER.

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27 year old afro-caribean woman with known Sickle cell disease and a history of upper abdominal pain.
view XRAY | view XRAY | case ANSWER.

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Routine assessment of a young West-African woman.
view XRAY | case ANSWER.

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Adult male with sudden onset of abdominal pain and absent bowel sounds 2 days after admission for 1 weeks history of abdominal discomfort.
view XRAY | case ANSWER.

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Previous history of treatment for enlarged lymph-nodes.
view XRAY | case ANSWER.

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23 year old male with abdominal pain.
view XRAY | case ANSWER.

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A thin old lady, international lawyer, resembling a varient of anorexia, determinedly independent with a tendancy to self-medication.
view XRAY | case ANSWER.

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80 year old asian with lump in left groin.
view XRAY | case ANSWER.

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Unwell newborn babies
view XRAY | view XRAY | case ANSWER.

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Malnourished adult male with intermittent fever and abdominal pain.
view XRAY | case ANSWER.

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Adult male, unwell, with abdominal distension and a history of blood and mucus in the stool.
view XRAY | case ANSWER.

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Adult woman with abdominal pain and changed bowel habit.
view XRAY | case ANSWER.

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Mature adult female had a recent bout of upper abdominal pain.
view XRAY | case ANSWER.

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West-Indian girl in her late teens with a history of frequent episodes of bone pain.
view XRAY | case ANSWER.

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Brought-up on a sheep farm.
view XRAY | case ANSWER.

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Adult male with dysphagia and burning chest pain.
view XRAY | case ANSWER.

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Adult West-Indian male with 'indigestion', previous gastic surgery and vagotomy with a known systemic condition.
view XRAY | case ANSWER.

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Man aged 70 years treated for long history of retrosternal pain and burning and now has increasing dysphagia.
view XRAY | case ANSWER.

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65 year old man with positive occult blood in stool.
view XRAY | case ANSWER.

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Adult male with right iliac fossa mass.
view XRAY | case ANSWER.

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Anaemic youngish adult with diarrhoea, some weight loss and recurrent abdominal pain. Admits to fever, on occasions.
view XRAY | case ANSWER.

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19 year old with a 9 year history of bowel disorder.
view XRAY | case ANSWER.

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Mature adult female with abdominal distension and loss of appetite.
view XRAY | case ANSWER.

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Young West-Indian woman with congenital anaemia.
view XRAY | case ANSWER.

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20 year old Indian woman with anaemia, fever and melaena.
view XRAY | case ANSWER.

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Middle-aged adult with history of dysphagia.
view XRAY | case ANSWER.

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Adult Indian woman with dysphagia and previous chest infection.
view XRAY | case ANSWER.

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45 year old Philipina with an episode of melaena (tarry stool, indicating bleeding).
view XRAY | case ANSWER.

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Adult male with abdominal pain and sudden recent change in bowel habit.
view XRAY | case ANSWER.

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Adult male with a history of weight loss.
view XRAY | case ANSWER.

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Previous resection of recto-sigmoid colon.
view XRAY | case ANSWER.

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Old man with weight loss and anorexia.
view XRAY | case ANSWER.

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30 year old Indian man with spasmodic abdominal pain.
view XRAY | case ANSWER.

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Mature adult male with epigastric pain after meals.
view XRAY | case ANSWER.

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Mature adult with a history of abdominal pain and anaemia. Refered for barium enema, because clinical featuures suggested distal small-bowel obstruction.
view XRAY | case ANSWER.

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Male aged 1 week with increasing abdominal distension and failure to thrive.
view XRAY | case ANSWER.

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Adult female with history of blood and mucus per rectum.
view XRAY | case ANSWER.

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40 year old male with history of intermittent upper abdominal pain and some jaundice.
view XRAY | case ANSWER.

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65 year old woman with a long history of constipation and occasional lower abdominal pain and recent abdominal distension.
view XRAY | case ANSWER.

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A elderly man with vitiligo, patchy loss of skin pigmentation and anaemia. He is recently 'off his food'.
view XRAY | case ANSWER.

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Girl with a mental disorder complaining of abdominal pain.
view XRAY | case ANSWER.

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50 year old man with recent haematemesis and symptoms of fullness after meals.
view XRAY | case ANSWER.

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70 year old man referred for ultrasound assessment of weight loss. ( at CMH. we tried to make ultrasound available early-on in the clinical assessment).
view XRAY | case ANSWER.

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67 year old man with a long history of indigestion and upper abdominal pain. This examination performed for follow-up after previous endoscopy.
view XRAY | case ANSWER.

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Young adult with right iliac fossa pain.
view XRAY | case ANSWER.

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31 year old Nigerian man with sudden onset of abdominal pain.
view XRAY | case ANSWER.

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34 year old man admitted 1 week earlier with abdominal pain and an elevated amylase.
view XRAY | case ANSWER.

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Adult male with previous bowel resection,now with recurrence of abdominal pain.
view XRAY | case ANSWER.

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Indian man with previously treated for abdominal pain and intermittent fever.
view XRAY | case ANSWER.

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Adult male with abdominal pain and excess mucus in the stool.
view XRAY | case ANSWER.

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1 year old girl with recent onset of abdominal pain and a palpable mass in the right iliac fossa.
view XRAY | case ANSWER.

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Adult male with dyspepsia and weight loss.
view XRAY | case ANSWER.

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Adult male with known liver disease.
view XRAY | case ANSWER.

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Young adulty, passing blood and mucus.
view XRAY | case ANSWER.

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37 year old Iranian man with anaemia and eosinophilia.
view XRAY | case ANSWER.

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54 year old man with dysphagia for the last 4 months. Endoscopy showed a stricture at 40 cm.
view XRAY | view XRAY | case ANSWER.

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25 year old male with right sided abdominal pain and nausia.
view XRAY | case ANSWER.

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73 year old woman with abdominal pain and a history of previous episode of diarrhoea with mucus and blood per rectum.
view XRAY | case ANSWER.

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Adult female with bowel distension and constipation.
view XRAY | view XRAY | case ANSWER.

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Sudden onset of abdominal distension in a mature adult.
view XRAY | case ANSWER.

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58 year old woman with previous carcinoma cervix.
view XRAY | case ANSWER.

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63 year old woman treated previously for abdominal pain, "indigestion".
view XRAY | case ANSWER.

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79 year old woman with a 4 year history of burning chest pain and dysphagia and recent vomiting.
view XRAY | case ANSWER.

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Incidental finding.
view XRAY | case ANSWER.

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Adult male of Middle-Eastern origins with fullness after meals.
view XRAY | case ANSWER.

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Adult female with weight loss and occasional vomiting.
view XRAY | case ANSWER.

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67 year old man with some weight loss and intermittent rectal bleeding.
view XRAY | case ANSWER.

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A middle aged woman with a chronic skin condition.
view XRAY | case ANSWER.

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History of fatty food intolerance and more recent increase in right upper abdomen pain.
view XRAY | case ANSWER.

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History of constipation and rectal bleeding.
view XRAY | case ANSWER.

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48 year old female, unwell. Vague abdominal discomfort.
view XRAY | case ANSWER.

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Elderly man with a history of a surgical procedure 18 years before for peptic ulcer disease (duodenal ulcer). Now unwell and poor appetite.
view XRAY | case ANSWER.

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Neonate with vomiting and distended abdomen.
view XRAY | case ANSWER.

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Mature adult female with history of episodes of burning upper abdominal pain, after meals.
view XRAY | case ANSWER.

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59 year old woman with 'indigestion'. Lived in Egypt as a child.
view XRAY | case ANSWER.

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55 year old female with previous history of gall-stones, now has severe upper abdominal pain, unwell. Elevated amylase.
view XRAY | case ANSWER.

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Adult male with weight loss and a previous surgical procedure.
view XRAY | case ANSWER.

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Incidental finding in an elderly patient with "indigestion".
view XRAY | case ANSWER.

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46 year old woman with a 2 year history of epigastric and lower retro-sternal pain and a 6 month history of loss of appetite and weight.
view XRAY | case ANSWER.

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59 year old woman, who was receiving therapy for Ca bronchus now has dysphagia.
view XRAY | case ANSWER.

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66 year old woman with 2 months history of change in bowel habit and a 3 wk history of swinging pyrexia. Previous diverticular disease. Sigmoidoscopy: rectal and sigmoid haemorrhagic mucosa.
view XRAY | case ANSWER.

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Mature adult with a long history of episodes of abdominal pain.
view XRAY | case ANSWER.

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66 year old man with a 3 month history of pain in the right iliac fossa, frequent watery stools and weight loss. A fixed mass is present in the region of the right iliac fossa.
view XRAY | case ANSWER.

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An african male with lower abdominal discomfort.
view XRAY | case ANSWER.

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Female, 40 year old, with right iliac fossa abdominal pain.
view XRAY | case ANSWER.

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74 year old woman with painless jaundice.
view XRAY | case ANSWER.

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Adult male with palor and sweats in the morning, relieved by food.
view XRAY | case ANSWER.

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78 year old woman with abdominal pain and constipation.
view XRAY | case ANSWER.

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58 year old woman with a long history of peptic ulcer disease and recent increase in symptoms without relief from H2 antagonists.
view XRAY | case ANSWER.

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Follow-up of condition causing dysphagia in mature adult male with neck pain.
view XRAY | case ANSWER.

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Two and a half years old boy with lower abdominal pain that came in bouts and who had a palpable mass in the left iliac fossa.
view XRAY | case ANSWER.

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Adult male with previous fever and upper abdominal pain.
view XRAY | case ANSWER.

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32 year old woman with diarrhoea, mouth ulcers and unsteadiness.
view XRAY | case ANSWER.

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74 year old woman with very recent onset of nausia and vomiting.
view XRAY | case ANSWER.

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65 year old woman admitted with abdominal pain. The view was a control film for an IVU. There has been no previous Surgery.
view XRAY | case ANSWER.

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Previous cardiac surgery with current dysphagia.
view XRAY | view XRAY | case ANSWER.

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31 year old male with loose motions and abdominal pain.
view XRAY | case ANSWER.

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65 year old woman with sudden onset of abdominal pain and distension.
view XRAY | case ANSWER.

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40 year old Chinese woman with 4 year history of dyspepsia, now losing weight.
view XRAY | case ANSWER.

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Adult female swallowed something 6 weeks before, now has abdominal pain and vomiting.
view XRAY | case ANSWER.

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68 year old woman with recent change in bowel habit.
view XRAY | case ANSWER.

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Adult Indian male with abdominal pain and intermittent fever.
view XRAY | case ANSWER.

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Mature adult female with dysphagia and weight-loss.
view XRAY | case ANSWER.

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Mature adult female with acute abdominal pain and absent bowel sounds.
view XRAY | view XRAY | case ANSWER.

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52 year old woman with an inherited condition and recent rectal bleeding.
view XRAY | case ANSWER.

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70 year old woman with a long history of dyspepsia.
view XRAY | case ANSWER.

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Mature adult female with dysphagia.
view XRAY | case ANSWER.

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70 year old woman with recent change in bowel habit. There was a history of mastectomy and radiotherapy 10 years before with two admissions for surgery during the intervening period.
view XRAY | case ANSWER.

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30 year old woman with difficulty swallowing.
view XRAY | case ANSWER.

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A 62 year old woman with onset of dysphagia, after treatment for an existing condition.
view XRAY | case ANSWER.

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Adult female with right upper quadrant pain and fatty food intolerance.
view XRAY | case ANSWER.

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32 year old male with lower abdominal cramps.
view XRAY | case ANSWER.

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Middle-aged woman with jaundice.
view XRAY | view XRAY | case ANSWER.

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70 year old man with jaundice.
view XRAY | case ANSWER.

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Adult male with difficulty swallowing and a history of regurgitating unchanged food some time after eating.
view XRAY | case ANSWER.

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History of dysphagia, halitosis and recurrent chest infections.
view XRAY | case ANSWER.

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84 year old male with abdominal pain and distension.
view XRAY | case ANSWER.

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Per-operative cholangiogram during cholecystectomy for gall-stones.
view XRAY | case ANSWER.

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30 year old female with abdominal pain and fever.
view XRAY | case ANSWER.

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This is an erect view in an adult female who has had a previous lymphogram. Present symptoms include anorexia and occasional vomiting.
view XRAY | case ANSWER.

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70 year old man with a history of previous dyspepsia, but with recent difficulty and discomfort on swallowing.
view XRAY | case ANSWER.

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Young adult male with an inherited condition, now has sensation of fullness after meals, occasional vomiting and a history of upper abdominal pain.
view XRAY | case ANSWER.

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35 year old Indian Male with a history of night sweats, recent abdominal pain, distension and vomiting.
view XRAY | view XRAY | case ANSWER.

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88 year old male with bowel distubance and steatorrhea (fat in the stool).
view XRAY | case ANSWER.

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Incidental finding.
view XRAY | case ANSWER.

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78 year old woman with an 18 year history of diabetes mellitus. Her presenting history is of intermittent dysphagia, felt in the lower part of her chest. Initially this happened once monthly, but had become more frequent.
view XRAY | case ANSWER.

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76 year old woman with intermittent vomiting and a mass on deep mid-line palpation.
view XRAY | case ANSWER.

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46 year old roofing contractor with diarrhoea. Tenderness in the right iliac fossa. Similar symptoms in the past treated conservatively.
view XRAY | case ANSWER.

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31 year old woman with lower abdominal pain that seemed to occur monthly.
view XRAY | case ANSWER.

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Mature adult female with sudden onset of abdominal pain.
view XRAY | case ANSWER.

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74 year old woman being treated for Parkinson's disease in the days before full availability of L-dopa. She developed abdominal distension after a barium enema.
view XRAY | view XRAY | case ANSWER.

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Elderly woman with a previous resection of the colon 9 years before and an abdominal mass.
view XRAY | case ANSWER.

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IDM Feb. 2007