Dr. Imran Lasker's Monthly Case Webinar #18: Deceptive Sigmoid Volvulus to Perplexing Abdominal Pain

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The Monthly Case Webinar series, hosted by Dr. Imran Lasker, a consultant radiologist for musculoskeletal and general radiology, offers a valuable platform for healthcare professionals to enhance their diagnostic skills. In this blog post, we'll dive into the key takeaways from the October 2023 Monthly Case Webinar #18, exploring a range of fascinating cases that challenge even experienced radiologists.

The Importance of Systematic Approach in Radiology

Dr. Lasker emphasizes the significance of a systematic approach when analyzing radiological images. This method not only ensures thoroughness but also helps in identifying subtle abnormalities that might otherwise be missed.

Case 1: The Deceptive Sigmoid Volvulus

At 5:38 in the webinar, Dr. Lasker presents a case of sigmoid volvulus, highlighting the importance of careful observation. He notes, "The key thing is to do is go for the common things first." This approach involves:

  1. Checking hernial orifices
  2. Looking for obturator hernias
  3. Identifying signs of sigmoid or cecal volvulus

The classic "coffee bean" sign, while not always visible on X-rays, can be a telltale indicator of sigmoid volvulus when present.

Case 2: The Unexpected Exostosis

Around 9:54 in the video, we encounter an intriguing case of a young patient with leg pain. Initially presenting as a potential soft tissue injury, further investigation revealed an exostosis (osteochondroma). Dr. Lasker emphasizes the importance of considering various differential diagnoses, stating, "If someone has pain around getting to puberty, around that time, then you should start worrying that there could be something else going on."

Advanced Imaging Techniques and Their Role

The webinar showcases the crucial role of advanced imaging techniques in accurate diagnosis.

Case 3: The Perplexing Abdominal Pain

At approximately 28:47, Dr. Lasker discusses a case involving abdominal pain and the use of CT scanning. He demonstrates the importance of a thorough examination, stating, "I highly highly recommend... do that thumbs up thing... do one scroll through." This method allows radiologists to quickly identify abnormalities before delving into detailed analysis.

In this case, the systematic approach revealed:

  • Intra-abdominal free air
  • Abnormalities in the sigmoid colon region
  • Potential fistula formation

Dr. Lasker explains, "What happened with this patient is that they had a previous episode of diverticulitis and they weren't feeling any better."

The Value of Collaborative Learning

Throughout the webinar, Dr. Lasker encourages interaction and questions from the audience. This collaborative approach to learning is evident when he says, "Feel free to throw in whatever you think this could be." This interactive style not only enhances learning but also mimics real-world diagnostic scenarios where collaboration often leads to more accurate diagnoses.

Conclusion: Continuous Learning in Radiology

The Monthly Case Webinar series, hosted on the Collective Minds Radiology platform, serves as an invaluable resource for radiologists and other healthcare professionals. By presenting a diverse range of cases and encouraging interactive learning, Dr. Imran Lasker and the team at Collective Minds Radiology are contributing significantly to the ongoing education of medical professionals worldwide.

As Dr. Imran Lasker aptly puts it, "I'm not an expert, I just like to do cases. Bit of a case geek." This humble approach to continuous learning and sharing knowledge is what makes these webinars so valuable to the radiology community.

For those interested in expanding their radiological knowledge, the Monthly Case Webinar #18 Case Collection is available on the Collective Minds platform, offering a wealth of information and learning opportunities.

As we conclude, it's worth noting that this webinar was skillfully introduced by Dhaanish Parvez, a Product Specialist at Collective Minds, highlighting the team effort behind these educational initiatives.

How has your approach to analyzing radiological images changed after learning about these complex cases? Share your thoughts and experiences in the comments below!


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Reviewed by: Pär Kragsterman on September 21, 2024