ARRS 2022 Abstracts

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E1086. Abdominopelvic Oncologic Emergencies: Patterns of Initial Presentation
Authors
  1. Kayla Riegler; University of Kentucky
  2. Johnson Deshommes; University of Kentucky
  3. Harrison Fouch; University of Kentucky
  4. James Lee; University of Kentucky
Background
According to the Centers for Disease Control and Prevention, cancer is the second leading cause of death in the United States. Certain populations have relatively higher rates of cancer-related death, such as in rural versus urban areas. Poor access to primary care and socioeconomic factors may lead to less screening and, therefore undetected advanced stage cancer presents to the emergency department. Radiologists working in the emergency department should be familiar with common and uncommon life-threatening presentations of abdominopelvic malignancies.

Educational Goals / Teaching Points
The teaching points for the presentation are to better understand patient dynamics that may lead to delay of care; recognize the patterns of hemorrhage, obstruction, and B symptoms in abdominopelvic oncologic emergencies presenting to the emergency department; and discuss the role of radiologists to make a timely and accurate diagnosis through imaging.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Patterns of the presentation will be grouped into the following symptom presenting categories: obstruction, hemorrhage, and B symptoms using CT and MRI.

Conclusion
This exhibit is aa review of imaging of common oncologic abdominopelvic emergencies that present in the emergency department to give providers the confidence to make accurate and timely decisions on treatment for these patients. CT and MRI can be used for patients who may present with symptoms discussed, such as obstruction, hemorrhage, and B symptoms, to find oncologic findings as soon as possible. In a time when cancer is prevalent and lack of access to adequate healthcare remains an issue, the topic of this review is crucial to know as a provider in order to serve patients best.