E1476. Top to Bottom: A Case-Based Review of Nontraumatic Urgent and Emergent Gastrointestinal Findings
  1. Tanner Henrie; Mayo Clinic
  2. James Boyum; Mayo Clinic
Abdominopelvic imaging is common in the emergent setting, and it is essential for radiologists to recognize urgent and emergent imaging findings in the gastrointestinal (GI) tract to expedite treatment. Integrating the clinical history with the imaging findings will allow the radiologist to consult with the primary treatment team and plan next steps in management.

Educational Goals / Teaching Points
The goal of this exhibit is to provide an organized approach to emergent findings in the GI tract. The viewer will be able to recognize these findings and differentiate them from common mimics of pathology.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This educational exhibit will present emergent findings in the GI tract in the form of a case-based review, as well as several quiz cases. The cases will include emergencies involving the esophagus, stomach, small bowel, colon, as well as the appendix and gallbladder. In addition, several important mimics of pathology will be discussed, including esophageal diverticula, mesenteric adenitis, fat-containing abdominal masses, colonic interposition, colonic pseudo-obstruction, and mimics of acute appendicitis.

Understanding and recognizing emergent imaging findings of the GI tract will allow radiologists to guide next steps in management of patients in the emergent setting. Furthermore, recognizing common mimics of pathology will direct appropriate treatment and avoid unnecessary interventions.