Medical Radiology-Diagnostic Imaging.Emergency Radiology of the Abdomen-Imaging Features and Differential ...

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Medical Radiology
Diagnostic Imaging
Series Editors
Albert L. Baert
Maximilian F. Reiser
Hedvig Hricak
Michael Knauth
Editorial Board
Andy Adam, London
Fred Avni, Brussels
Richard L. Baron, Chicago
Carlo Bartolozzi, Pisa
George S. Bisset, Durham
A. Mark Davies, Birmingham
William P. Dillon, San Francisco
D. David Dershaw, New York
Sam Sanjiv Gambhir, Stanford
Nicolas Grenier, Bordeaux
Gertraud Heinz-Peer, Vienna
Robert Hermans, Leuven
Hans-Ulrich Kauczor, Heidelberg
Theresa McLoud, Boston
Konstantin Nikolaou, Munich
Caroline Reinhold, Montreal
Donald Resnick, San Diego
Rüdiger Schulz-Wendtland, Erlangen
Stephen Solomon, New York
Richard D. White, Columbus
For further volumes:
Mariano Scaglione
Ulrich Linsenmaier

Gerd Schueller
Editors
Emergency Radiology
of the Abdomen
Imaging Features and Differential
Diagnosis for a Timely Management
Approach
123
Mariano Scaglione
Department of Diagnostic Imaging
Pineta Grande Medical Center
Castel Volturno
Italy
Prof. Dr. Gerd Schueller, MBA
Department of Radiology
Medical University of Vienna
General Hospital of Vienna
Vienna
Austria
Ulrich Linsenmaier
Department of Clinical Radiology
Ludwig-Maximilians-University
Munich
Germany
and
Director Institute of Diagnostic Radiology
and Interventional Therapy Klinikum
München Pasing & Perlach (KMPP)
Munich
Germany
ISSN 0942-5373
ISBN 978-88-470-2512-7
e-ISBN 978-88-470-2513-4
DOI 10.1007/978-88-470-2513-4
Springer Heidelberg New York Dordrecht London
Library of Congress Control Number: 2012932402
Springer-Verlag Berlin Heidelberg 2012
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Product liability: The publishers cannot guarantee the accuracy of any information about dosage and
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Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
To my beloved sons, Pietro e Ruben, for their love, encourage and
support
Mariano Scaglione
My thanks go to my family, my beloved children Laura and Lukas, my
brother Jörg and all friends for supporting me and encouraging my
scientific work
Ulrich Linsenmaier
For Claudia, my wife, whose constant support is a great asset in my
life: and to my daughters Nadja, Mona, and Linda, who tried but
eventually did not preclude the writing of this book
Gerd Schueller
Foreword
Emergency Radiology of the Abdomen
Imaging Features and Differential Diagnosis for a Timely Management
Approach
Things may at the same time become more difficult and easier. This very
general remark also applies to the topic of this book ‘‘Emergency Radiology of
the Abdomen’’. On one hand state-of-the-art imaging technologies allow for a
straight forward diagnosis in many cases of acute abdomen, trauma to the
abdomen and other emergency conditions related to diseases of abdominal
organs. On the other hand, radiologists have to be more and more aware of
clinical entities and pathological conditions in order to fulfil their duty, namely
to provide our clinical partners with practically useful information.
It is not so long ago, that surgeons had to perform laparotomy in order to
make a definite diagnosis in cases of ambiguous clinical findings concerning the
status of the abdominal organs. Nowadays, imaging has become so precise and
reliable, that in almost all cases a definitive diagnosis can be established before
patients undergo surgery or
in order
to prevent unnecessary surgical
procedures.
Since we talk about potentially life threatening disorders and diseases, the
diagnostic imaging is a critical issue. Therefore, radiologists have to be aware of
the clinical needs, the great variability of disorders, which may only be cate-
gorized correctly in view of the clinical history and clinical findings. Conse-
quently, close cooperation and common understanding with emergency
physicians are indispensable.
I would like to thank the editors of this edition of Medical Radiology/
Diagnostic Imaging for their initiative and for bringing together experts in the
field. Considering the steadily increasing importance of diagnostic imaging in
the management of patients with acute symptoms of the abdomen, this work
may become an indispensible guide for many radiologists and clinicians. I
would also like to thank all authors of the various chapters of this edition for
their contribution and for the willingness to share their expertise with the
readers of this book.
Prof. Dr. med. Dr. h.c. Maximilian Reiser
Department of Clinical Radiology
University Hospitals
Ludwig-Maximilians-University of Munich
vii
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