General

Question 1

List the retroperitoneal structures.

Answer 1

"SAD PUCKER B"
Suprarenal glands (adrenal glands)
Aorta/IVC
Duodenum (2nd & 3rd segment)
Pancreas (Head, Body & Tail)
Ureters
Colon (ascending & descending)
Kidneys
Esophagus
Rectum
Bladder

Question 2

What is the M/C/C of pneumoperitoneum?

Answer 2

Recent abdominal operation

if not from surgery, indicates rupture/perforation of ulcer in stomach, duodenum or colon

Question 3

What is Rigler’s sign?

Answer 3

double wall sign – see the wall of the bowel stand out as there is gas adjacent to it from the intestinal lumen and adjacent peritoneal cavity –> indicates free peritoneal air

another name for Rigler’s sign is BAS RELIEF

Question 4

What is football sign?

Answer 4

Large amounts of free gas in uppermost anterior portion of the peritoneal cavity in a SUPINE CHILD

Question 5

What is Morison’s pouch? And what sign do you get when it’s filled with air?

Answer 5

The hepatiorenal recess – the space between the liver and kidney. Its located intraperitoneal.

Doge’s cap sign

Question 6

Which structures are fixed in the abdomen?

Answer 6

ligament of Treitz, gastric fundus, hepatic & splenic flexure, rectum

Question 7

What is the specific contrast method called to observe the small bowel (either single or double contrast)?

Answer 7

Interocolysis

Question 8

What is the name of the procedure that causes duodenal paralysis so that a double contrast examination can be performed without interference from peristaltic activity?

Answer 8

Hypotonic duodenography

Question 9

List 3 tumors that are characteristic for extending into the inferior vena cava.

Answer 9

Adrenal, renal cell & hepatocellular carcinoma