Case 357 (28 August 2004)
Courtesy: Jeong
Joo Woo, M.D.
Eulji
Hospital, Seoul, Korea
(The copyright of the images remains with the original supplier and KSTR)
Age / Sex |
45 / F |
Chief complaint |
Lower abdominal pain |
Diagnosis with Brief Discussion
No. of Applicants |
23 |
Correct Answerers |
8 |
|
CIM Saint Dizier, France Hangang Sacred Heart Hospital, Korea Hanyang University Hospital, Seoul, Korea Incheon Sarang Hospital, Korea Mallinckrodt Institute of Radiology, USA National Taiwan University Hospital, Taiwan Ondokuz Mayis University, Samsun, Turkey Social Security Hospital, Ankara, Turkey |
JC
Leclerc |
Semi-Correct Answerers |
10 |
|
Chonnam National University Hospital, Korea Chonnam National University Hospital, Korea CHU Nancy-Brabois, France Dong-A University Hospital, Korea Homs National Hospital, Homs, Syria Korea Univ Ansan Hopspital, Korea Marien Hospital, Hamm, Germany Seoul National University Hospital, Korea Sharma Clinic, Jaipur, India Wonju Christian Hospital, Korea |
Sook
Hee Heo |
Please also refer to Case 16,
Conference2001Spring_9
Comment
from Dr. CH Lee, a member of KSTR
Dear
Dr Kim:
Thank
you for the really exciting quiz of the KSTR.
These are quite educational and really vivid cases that could be confronted in daily practices.
Nowadays I am really enjoying KSTR cases and submitting the answers.
Sometimes I am embarrased for the correct answers and delighted for the interesting cases.
Recently
I got to begin to understand Chest complaint, sex and age could be distracting
one for the answer.
Lower
abdominal pain, 45 year old female comes to the hospital with chest PA.
No additional information for the lower abdominal pain was provided. Does it related to the chest abonrmality or not ? I was quite deliberating wheter it is related or not.
Most of the radiologists want to see pericardial cyst can cause lower abdominal pain or not. I think right upper quadrant dull pain, chest pain or incidentally found abnormality could be a better one for the chief complaint.
As described in brief review, great majority are asymtomatic! IF there is any, chest pain, dyspnea.....
But
I know it is and it could be in real practices.
It says that don't be distracted by Labs, symptoms, physical examinations, detect and analyze the image-in-itself as a radiologist.
I
come to see that knowing or setting up the borderline between the image that
should be correlated with clinical infomration and the image that could be diagnosed
byitself is a touchstone to be a good radiologist or not.
Anyway
I really appreciate for the submitters, contributing members, editors and all
the appliers making KSTR cool !
Thank
you again.