CT Findings in the Abdomen and Pelvis After Gastric Carcinoma Resection
Kyeong Ah Kim1,
Cheol Min Park1,
Sang Woo Park1,
Sang Hoon Cha1,
Hae Young Seol1,
In Ho Cha1 and
Ki Yeol Lee2
1 Department of Radiology, Medical Science Research Center, Korea University
Guro Hospital, 80, Guro-Dong, Guro-Ku, Seoul, 152-050, Korea.
2 Department of Radiology, Inje University Paik Hospital, 85, 2Ka, Jur-Dong,
Chung-Ku, Seoul, 100-032, Korea.
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Fig. 1. —49-year-old woman with nonobstructive biliary dilatation
after esophagojejunostomy. Contrast-enhanced CT scan shows dilatation of
peripheral (thin arrows) and central (thick arrow) bile
ducts. No obstructing lesion was found in bile duct.
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Fig. 2. —38-year-old man with surgical plications mimicking recurrent
tumor. Contrast-enhanced CT scan shows polypoid elevation (arrow) at
anastomosis.
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Fig. 3. —52-year-old man with abscess of left subphrenic space after
subtotal gastrectomy. Abscess (A) is limited by falciform ligament, which
prevents spread to right subphrenic space.
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Fig. 4. —63-year-old woman with afferent loop syndrome after Billroth
II operation. Contrast-enhanced CT scan shows massively dilated duodenum (D)
posterior to superior mesenteric artery (arrow) and anterior to
spine.
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Fig. 5. —44-year-old woman with bezoar in stomach remnant.
Contrast-enhanced CT scan shows floating inhomogeneous mass with entrapped air
(arrow).
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Fig. 6. —58-year-old man with incisional hernia. Contrast-enhanced CT
scan shows knucklelike portion of small bowel (arrows) protruding
beneath healed midline incision.
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Fig. 7. —66-year-old man with hiatal hernia after subtotal
gastrectomy. Contrast-enhanced CT scan shows herniated gastric remnant (H)
through esophageal hiatus above diaphragm.
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Fig. 8. —41-year-old woman with tumor recurrence near celiac axis.
Contrast-enhanced CT scan shows enlarged lymph nodes (arrows)
surrounding celiac axis.
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Fig. 9. —59-year-old man with tumor recurrence at anastomosis site.
Contrast-enhanced CT scan shows mucosal thickening and contrast enhancement at
gastrojejunostomy site (arrows).
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Fig. 10. —71-year-old man with tumor recurrence in pancreas.
Contrast-enhanced CT scan shows diffuse low-attenuation mass (arrows)
that is infiltrating entire pancreas.
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Fig. 11. —62-year-old woman with tumor recurrence along abdominal
incision. Contrast-enhanced CT scan shows inhomogeneously enhancing mass
(arrow) in anterior wall of abdomen.
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Fig. 12. —55-year-old woman with invasion of transverse colon via
gastrocolic ligament. Contrast-enhanced CT scan shows irregular wall
thickening (arrows) in transverse colon.
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Fig. 13. —63-year-old man with metastatic lymphadenopathy.
Contrast-enhanced CT scan shows conglomerate lymphadenopathy (N) in left
paraaortic area.
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Fig. 14A. —48-year-old man with peritoneal seeding. Contrast-enhanced CT
scan reveals omental metastasis. Smudged omentum with small nodules and
infiltrated fat (arrows) can be seen.
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Fig. 14B. —48-year-old man with peritoneal seeding. Contrast-enhanced CT
scan shows perirectal drop metastasis. Note well-enhancing tumor
(arrows) in pouch of Douglas.
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Fig. 15. —49-year-old woman with metastatic linitis plastica of rectum
and Krukenberg's tumor of ovary. Patient underwent total gastrectomy for
signet ring cell—type gastric carcinoma. Contrast-enhanced CT scan shows
concentric thickening (arrow) of rectal wall with target sign and
infiltration into perirectal fat plane. Note right ovarian mass (K) and
ascites (a).
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Fig. 16. —67-year-old man with ureteral metastasis. Contrast-enhanced
CT scan shows thickened, enhanced right proximal ureteral wall with luminal
narrowing and periureteral infiltrations (arrows).
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Fig. 17. —59-year-old man with portal vein tumor thrombosis.
Contrast-enhanced CT scan shows dilated, nonopacified main and right lobar
branches of portal vein (open arrows). Biopsy-proven multiple hepatic
metastases (solid arrows) are also present.
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Copyright © 2002 by the American Roentgen Ray Society.
