Skip to main content
Top
Published in: Abdominal Radiology 2/2020

01-02-2020 | Computed Tomography | Review

Pathognomonic imaging signs in abdominal radiology

Authors: Christopher Kloth, Daniel Vogele, Horst Brunner, Meinrad Beer, Stefan Andreas Schmidt

Published in: Abdominal Radiology | Issue 2/2020

Login to get access

Abstract

The imaging evaluation of the abdomen is of crucial importance for every radiologist. In addition to ultrasound, conventional radiographs and contrast-enhanced computed tomography (CT) are the most common imaging procedures in the abdominal region. Numerous pathognomonic signs should be known in this context by every radiologist. Radiographs of the abdomen are an often used first step in radiologic imaging, while CT examinations are carried out for further differentiation, in oncological settings and in time-critical emergency situations. A fast and clear assignment of these signs to a specific disease is the basis for a correct diagnosis. This pictorial review describes the most common pathognomonic signs in abdominal imaging. The knowledge of these pictograms is therefore essential for radiologists interested in abdominal medicine and should also be addressed in training and further education.
Literature
1.
go back to reference Mindelzun RE, McCort JJ (1986) The cupola sign of pneumoperitoneum in the supine patient. Gastrointest Radiol 11 (3):283-285CrossRef Mindelzun RE, McCort JJ (1986) The cupola sign of pneumoperitoneum in the supine patient. Gastrointest Radiol 11 (3):283-285CrossRef
6.
go back to reference Rigler LG (1941) Spontaneous pneumoperitoneum: a roentgenologic sign found in the supine position. Radiology 37 (5):604-607CrossRef Rigler LG (1941) Spontaneous pneumoperitoneum: a roentgenologic sign found in the supine position. Radiology 37 (5):604-607CrossRef
10.
go back to reference Sanchez Arroyo ND, Solano JJ (2019) Rigler Sign. In: StatPearls. Treasure Island (FL), Sanchez Arroyo ND, Solano JJ (2019) Rigler Sign. In: StatPearls. Treasure Island (FL),
12.
go back to reference Levine MS, Carucci LR, DiSantis DJ, Einstein DM, Hawn MT, Martin-Harris B, Katzka DA, Morgan DE, Rubesin SE, Scholz FJ, Turner MA, Wolf EL, Canon CL (2016) Consensus Statement of Society of Abdominal Radiology Disease-Focused Panel on Barium Esophagography in Gastroesophageal Reflux Disease. AJR Am J Roentgenol 207 (5):1009-1015. https://doi.org/10.2214/ajr.16.16323 CrossRefPubMed Levine MS, Carucci LR, DiSantis DJ, Einstein DM, Hawn MT, Martin-Harris B, Katzka DA, Morgan DE, Rubesin SE, Scholz FJ, Turner MA, Wolf EL, Canon CL (2016) Consensus Statement of Society of Abdominal Radiology Disease-Focused Panel on Barium Esophagography in Gastroesophageal Reflux Disease. AJR Am J Roentgenol 207 (5):1009-1015. https://​doi.​org/​10.​2214/​ajr.​16.​16323 CrossRefPubMed
15.
go back to reference Morris JK, Springett AL, Greenlees R, Loane M, Addor MC, Arriola L, Barisic I, Bergman JEH, Csaky-Szunyogh M, Dias C, Draper ES, Garne E, Gatt M, Khoshnood B, Klungsoyr K, Lynch C, McDonnell R, Nelen V, Neville AJ, O’Mahony M, Pierini A, Queisser-Luft A, Randrianaivo H, Rankin J, Rissmann A, Kurinczuk J, Tucker D, Verellen-Dumoulin C, Wellesley D, Dolk H (2018) Trends in congenital anomalies in Europe from 1980 to 2012. PLoS One 13 (4):e0194986. https://doi.org/10.1371/journal.pone.0194986 CrossRefPubMedPubMedCentral Morris JK, Springett AL, Greenlees R, Loane M, Addor MC, Arriola L, Barisic I, Bergman JEH, Csaky-Szunyogh M, Dias C, Draper ES, Garne E, Gatt M, Khoshnood B, Klungsoyr K, Lynch C, McDonnell R, Nelen V, Neville AJ, O’Mahony M, Pierini A, Queisser-Luft A, Randrianaivo H, Rankin J, Rissmann A, Kurinczuk J, Tucker D, Verellen-Dumoulin C, Wellesley D, Dolk H (2018) Trends in congenital anomalies in Europe from 1980 to 2012. PLoS One 13 (4):e0194986. https://​doi.​org/​10.​1371/​journal.​pone.​0194986 CrossRefPubMedPubMedCentral
16.
19.
go back to reference Belczak SQ, Sincos IR, Aun R, Costa KV, Araujo EA (2014) Coral reef aorta, emergency surgical: case report and literature review. Einstein (Sao Paulo) 12 (2):237-241CrossRef Belczak SQ, Sincos IR, Aun R, Costa KV, Araujo EA (2014) Coral reef aorta, emergency surgical: case report and literature review. Einstein (Sao Paulo) 12 (2):237-241CrossRef
21.
go back to reference Grotemeyer D, Pourhassan S, Rehbein H, Voiculescu A, Reinecke P, Sandmann W (2007) The coral reef aorta - a single centre experience in 70 patients. Int J Angiol 16 (3):98-105CrossRef Grotemeyer D, Pourhassan S, Rehbein H, Voiculescu A, Reinecke P, Sandmann W (2007) The coral reef aorta - a single centre experience in 70 patients. Int J Angiol 16 (3):98-105CrossRef
24.
go back to reference Li H, Zeng MS, Zhou KR, Jin DY, Lou WH (2005) Pancreatic adenocarcinoma: the different CT criteria for peripancreatic major arterial and venous invasion. J Comput Assist Tomogr 29 (2):170-175CrossRef Li H, Zeng MS, Zhou KR, Jin DY, Lou WH (2005) Pancreatic adenocarcinoma: the different CT criteria for peripancreatic major arterial and venous invasion. J Comput Assist Tomogr 29 (2):170-175CrossRef
34.
go back to reference Goshima S, Kanematsu M, Matsuo M, Kondo H, Kato H, Yokoyama R, Hoshi H, Moriyama N (2004) Nodule-in-nodule appearance of hepatocellular carcinomas: comparison of gadolinium-enhanced and ferumoxides-enhanced magnetic resonance imaging. J Magn Reson Imaging 20 (2):250-255. https://doi.org/10.1002/jmri.20100 CrossRefPubMed Goshima S, Kanematsu M, Matsuo M, Kondo H, Kato H, Yokoyama R, Hoshi H, Moriyama N (2004) Nodule-in-nodule appearance of hepatocellular carcinomas: comparison of gadolinium-enhanced and ferumoxides-enhanced magnetic resonance imaging. J Magn Reson Imaging 20 (2):250-255. https://​doi.​org/​10.​1002/​jmri.​20100 CrossRefPubMed
40.
46.
go back to reference Piura B, Rabinovich A, Leron E, Yanai-Inbar I, Mazor M (2002) Peritoneal tuberculosis mimicking ovarian carcinoma with ascites and elevated serum CA-125: case report and review of literature. Eur J Gynaecol Oncol 23 (2):120-122PubMed Piura B, Rabinovich A, Leron E, Yanai-Inbar I, Mazor M (2002) Peritoneal tuberculosis mimicking ovarian carcinoma with ascites and elevated serum CA-125: case report and review of literature. Eur J Gynaecol Oncol 23 (2):120-122PubMed
47.
go back to reference Dautrebande J, Duckett G, Roy P (1967) The claw sign of cortical cysts in renal arteriography. J Can Assoc Radiol 18 (1):240-250PubMed Dautrebande J, Duckett G, Roy P (1967) The claw sign of cortical cysts in renal arteriography. J Can Assoc Radiol 18 (1):240-250PubMed
50.
55.
go back to reference Gryglewski A, Kuta M, Pasternak A, Opach Z, Walocha J, Richter P (2016) Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature. Folia Med Cracov 56 (3):61-66 Gryglewski A, Kuta M, Pasternak A, Opach Z, Walocha J, Richter P (2016) Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature. Folia Med Cracov 56 (3):61-66
58.
go back to reference Beggs I (1983) The radiological appearances of hydatid disease of the liver. Clinical radiology 34 (5):555-563CrossRef Beggs I (1983) The radiological appearances of hydatid disease of the liver. Clinical radiology 34 (5):555-563CrossRef
60.
go back to reference Giorgio A, Di Sarno A, de Stefano G, Liorre G, Farella N, Scognamiglio U, Giorgio V (2009) Sonography and clinical outcome of viable hydatid liver cysts treated with double percutaneous aspiration and ethanol injection as first-line therapy: efficacy and long-term follow-up. AJR Am J Roentgenol 193 (3):W186-192. https://doi.org/10.2214/ajr.08.1518 CrossRefPubMed Giorgio A, Di Sarno A, de Stefano G, Liorre G, Farella N, Scognamiglio U, Giorgio V (2009) Sonography and clinical outcome of viable hydatid liver cysts treated with double percutaneous aspiration and ethanol injection as first-line therapy: efficacy and long-term follow-up. AJR Am J Roentgenol 193 (3):W186-192. https://​doi.​org/​10.​2214/​ajr.​08.​1518 CrossRefPubMed
Metadata
Title
Pathognomonic imaging signs in abdominal radiology
Authors
Christopher Kloth
Daniel Vogele
Horst Brunner
Meinrad Beer
Stefan Andreas Schmidt
Publication date
01-02-2020
Publisher
Springer US
Published in
Abdominal Radiology / Issue 2/2020
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-019-02331-6

Other articles of this Issue 2/2020

Abdominal Radiology 2/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine