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Case in Point Editor in Chief
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Kitt Shaffer, MD, PhD, FACR
Editor in Chief
Boston Medical Center
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Associate Editors
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Body Imaging
Brett W. Carter, MD
Baylor University Medical Center
Bryan Foster, MD
Oregon Health & Science University
Els L. F. Nijs, MD
Childrens Hospital of Philadelphia
Breast Imaging
Deborah Cunningham, MD
Boston Medical Center
Thomas L. Pope, MD, FACR
James V. Vasek, Jr, MD
Texas A&M University, Scott and White Healthcare
Interventional Radiology
David Harshfield, Jr, MD
International College of Integrative Medicine
Musculoskeletal Imaging
David Harshfield, Jr, MD
International College of Integrative Medicine
Thomas L. Pope, MD, FACR
Suraj Reddy, MD
Baylor University Medical Center
Robert J. Ward, MD
Tufts Medical Center
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View Today's Case in Point
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Wednesday, May 16, 2012
A 46-year-old woman with a history of rheumatoid arthritis and recurrent esophageal strictures (status post multiple esophageal dilatations with the most recent occurring in 2009) presents with abdominal pain, nausea, and vomiting.The patient was admitted to an outside hospital for gastric outlet obstruction per the CT examination findings. An esophagogastroduodenoscopy (EGD) was performed, demonstrating a massively distended stomach and increased volume of gastric secretions, and 900 mL of gastric fluid was later aspirated. Selective intubation of the duodenum was not possible secondary to increased volume of secretions, and the procedure was terminated.Following the EGD, the patient developed a distinctly different severe abdominal pain, and a subsequent kidney-ureter-bladder image demonstrated pneumoperitoneum. The patient was immediately taken to the operating room for exploratory laparotomy. The surgical team identified a tear along the lesser curvature of the stomach, which was then repaired.
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CME Information for Case in Point
The AMA PRA Category 1 Credit™ for each case is valid for 3 years from the date the case was posted. All cases posted before April 1, 2011, are not eligible for CME.
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Associate Editors
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Neurological Imaging
Michael Opatowsky, MD
Joseph Philip, MD
Baylor University Medical Center
Nuclear Medicine
Sara Meibom, MD
Boston Medical Center
Pediatric Imaging
Harris L. Cohen, MD, FACR
University of Tennessee Health Science Center
Le Bonheur Children's Hospital
Els L. F. Nijs, MD
Lisa J. States, MD
Childrens Hospital of Philadelphia
Radiation Oncology
Ariel Hirsch, MD
Boston Medical Center
Thoracic Imaging
Brett W. Carter, MD
Baylor University Medical Center
Kitt Shaffer, MD, PhD, FACR
Boston Medical Center
Srini Tridandapani, MD, PhD
Emory University
Ultrasound
Harris L. Cohen, MD, FACR
University of Tennessee Health Science Center
Le Bonheur Children's Hospital
David Harshfield, Jr, MD
International College of Integrative Medicine
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