Rare Syndromes & Systemic

BAZEX SYNDROME . (Courtesy Dr . V . Penopoulos).

BAZEX SYNDROME .(Courtesy Dr . V . Penopoulos).

BAZEX SYNDROME . (Courtesy Dr . V . Penopoulos).

BAZEX SYNDROME . (Courtesy Dr . V . Penopoulos).

BAZEX SYNDROME . (Courtesy Dr . V . Penopoulos).

SWEET SYNDROME - ERYTHEMA NODOSUM . (Courtesy Dr . V . Penopoulos).

YELLOW NAIL SYNDROME - BILATERAL PLEURAL EFFUSIONS . (Courtesy Dr . V . Penopoulos).

YELLOW NAIL SYNDROME - INTESTINAL LYMPHANGIECTASIA . (Courtesy Dr . V . Penopoulos).

YELLOW NAIL SYNDROME . (Courtesy Dr . V . Penopoulos).

SOLITARY RECTAL ULCER SYNDROME . (Courtesy Dr . V . Penopoulos).

SOLITARY RECTAL ULCER SYNDROME . (Courtesy Dr . V . Penopoulos).

SOLITARY RECTAL ULCER SYNDROME . (Courtesy Dr . V . Penopoulos).

SOLITARY RECTAL ULCER SYNDROME . (Courtesy Dr . V . Penopoulos).

SUPERIOR MESENTERIC ARTERY SYNDROME . (Courtesy Dr . V . Penopoulos).

SUPERIOR MESENTERIC ARTERY SYNDROME . (Courtesy Dr . V . Penopoulos).

SUPERIOR MESENTERIC ARTERY SYNDROME . (Courtesy Dr . V . Penopoulos).

SUPERIOR MESENTERIC ARTERY SYNDROME . (Courtesy Dr . V . Penopoulos).

SUPERIOR MESENTERIC ARTERY SYNDROME . (Courtesy Dr . V . Penopoulos).

SITUS INVERSUS TOTALIS . (Courtesy Dr . V . Penopoulos).

PELVIC CONGESTION SYNDROME - OVARIAN PHLEBOGRAPHY . (Courtesy Dr . V . Penopoulos).

PELVIC CONGESTION SYNDROME . (Courtesy Dr . V . Penopoulos).

OGILVIE'S SYNDROME . (Courtesy Dr . V . Penopoulos).

OGILVIE'S SYNDROME. (Courtesy Dr . V . Penopoulos).

OGILVIE'S SYNDROME . (Courtesy Dr . V . Penopoulos).

OGILVIE'S SYNDROME . (Courtesy Dr . V . Penopoulos).

OGILVIE'S SYNDROME . (Courtesy Dr . V . Penopoulos).

NUTCRACKER SYNDROME - DILATED SEMINAL VEIN . (Courtesy Dr . V . Penopoulos).

NUTCRACKER SYNDROME . (Courtesy Dr . V . Penopoulos).

NEUROFIBROMATOSIS - GISTs . (Courtesy Dr . V . Penopoulos).

NEUROFIBROMATOSIS . (Courtesy Dr . V . Penopoulos).

MEDIASTINAL SYNDROME . (Courtesy Dr . V . Penopoulos).

MEDIAN ARCUATE LIGAMENT SYNDROME . (Courtesy Dr . V . Penopoulos).

MEDIAN ARCUATE LIGAMENT SYNDROME . (Courtesy Dr . V . Penopoulos).

MEDIAN ARCUATE LIGAMENT SYNDROME . (Courtesy Dr . V . Penopoulos).

MEDIAN ARCUATE LIGAMENT SYNDROME

KASABACH MERRIT SYNDROME . (Courtesy Dr . V . Penopoulos).

GARDNER'S SYNDROME - ADENOMATOUS POLYPOSIS . (Courtesy Dr . V . Penopoulos).

GARDNER'S SYNDROME - DESMOID TUMOR . (Courtesy Dr . V . Penopoulos).

GARDNER'S SYNDROME - OSTEOMA . (Courtesy Dr . V . Penopoulos).

GARDNER'S SYNDROME - HYDRONEPHROSIS . (Courtesy Dr . V . Penopoulos).

FAMILIAL MEDITERRANEAN FEVER-AMYLOIDOSIS . (Courtesy Dr . V . Penopoulos).

COWDEN SYNDROME - MULTIPLE GASTRIC POLYPOSIS . (Courtesy Dr . V . Penopoulos).

CHILAIDITI SYNDROME . (Courtesy Dr . V . Penopoulos).

CHILAIDITI SYNDROME . (Courtesy Dr . V . Penopoulos).

CELIAC ARTERY COMPRESSION SYNDROME . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME - SCHEMATIC ILLUSTRATION

BUDD - CHIARI SYNDROME - SCHEMATIC ILLUSTRATION

BUDD - CHIARI SYNDROME - CAVOGRAPHY . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME - MRI PHLEBOGRAPHY . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME - MRI PHLEBOGRAPHY . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME - MRI PHLEBOGRAPHY .(Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME . (Courtesy Dr . V . Penopoulos).

BUDD - CHIARI SYNDROME . (Courtesy Dr . V . Penopoulos).

BOERHAAVE SYNDROME - STENT PLACEMENT

BOUVERET'S SYNDROME

BOUVERET'S SYNDROME

MIRIZZI SYNDROME . (Courtesy Dr . V . Penopoulos).

BILATERAL MEDULLARY CARCINOMA - MEN 2

Boerhaave Syndrome . Esophagostomy . (Courtesy Dr.V.Penopoulos).

Gastrografin swallow. Lower esophageal perforation (Courtesy Dr. V. Penopoulos)

Boerhaave Syndrome . Chest CT scan. Bilateral pleural effusions, more prominent on the left (Courtesy Dr. V. Penopoulos)

Boerhaave Syndrome . Forceps at the site of lower esophageal perforation (Courtesy Dr. V. Penopoulos)

Endoscopic clips placement . (Courtesy Dr. V. Penopoulos)

Endoscopic stent placement.(Courtesy Dr.V.Penopoulos).

Boerhaave Syndrome . Endoscopic stent placement . (Courtesy Dr. V. Penopoulos)

Boerhaave Syndrome. Plain Chest X-Ray.Presence of free air in the mediastinum.(Courtesy Dr.V.Penopoulos).

Boerhaave Syndrome . Upper gastrointestinal endoscopy. Esophageal perforation (Courtesy Dr. V. Penopoulos)

Chilaiditi Syndrome . Chest X-Ray.The interposition of the right hepatic flexure between the liver and the right hemidiaphragm is obvious.(Courtesy Dr.V.Penopoulos).

Abdominal CT scan. Colonic pseudo-obstruction (Courtesy Dr. V. Penopoulos)

Abdominal CT scan. Colonic pseudo-obstruction (Courtesy Dr. V. Penopoulos)

MRI of the lumbosacral spine. Air is clearly visible within the spinal canal (Courtesy Dr. V. Penopoulos)

Rectal injury sustained when the patient fell onto a sharp object.(Courtesy Dr. V. Penopoulos).

Rectal Injury . Red arrows. Thickened rectal wall. Green arrow. Fascia of the levator ani muscle (Courtesy Dr. V. Penopoulos)

Primary Sjogren's syndrome . MIVOD . (Courtesy Dr. V. Penopoulos)

Mesenteric inflammatory veno-occlusive disease . ( Courtesy Dr . V . Penopoulos ).

Primary Sjogren's syndrome . MIVOD . (Courtesy Dr. V. Penopoulos)

Primary Sjogren's syndrome . MIVOD . (Courtesy Dr. V. Penopoulos)

Calciphylaxis lesion on the right calf. (Courtesy Dr. V. Penopoulos).

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Calciphylaxis Right breast. (Courtesy Dr. V. Penopoulos).

Calciphylaxis left thigh and penis. (Courtesy Dr. V. Penopoulos).

Calciphylaxis lesion on the left calf. (Courtesy Dr. V. Penopoulos).

Multiple Myeloma . Bone scintigraphy – Presence of multiple osteolytic foci (Courtesy Dr. V. Penopoulos)

Multiple Myeloma - Sternal Fracture . ( Courtesy Dr.V.Penopoulos).

Holt Oram syndrome and Crohn's disease . ( Courtesy Dr . T . Maris ) .

Typical Holt Oram syndrome’s hands malformations . ( Courtesy Dr . V . Penopoulos ) .

Postoperative image of sternal fracture repair (Courtesy Dr. V. Penopoulos)

Figure 1 . Typical Holt Oram syndrome’s hands malformations . ( Courtesy Dr . V . Penopoulos ) .

DIOS .Right Hemicolectomy specimen . The impacted mucofeculent material in the terminal ileum is clearly seen (Courtesy Dr. V. Penopoulos)

DIOS - Cystic Fibrosis .(Courtesy Dr. V. Penopoulos)

Right Hemicolectomy specimen . The impacted mucofeculent material in the terminal ileum is clearly seen (Courtesy Dr. V. Penopoulos)

Marfan's Syndrome . Abdominal CT Scan . Abscess formation . ( Courtesy Dr . V . Penopoulos ) .

Marfan's Syndrome . Intercostal artery reconstruction protecting the spinal cord in patients undergoing extensive thoracoabdominal aortic aneurysm repair or aortic dissection . ( thoraco-abdominal incision ) .( Courtesy Dr . V . Penopoulos ) .

Marfan's syndrome . Pectus excavatum , striae atrophicae and prominent scoliosis . (Courtesy Dr . V . Penopoulos) .

Marfan's syndrome . Patient’s abnormally long and slender fingers (arachnodactyly).(Courtesy Dr.V.Penopoulos).

Marfan's Syndrome . Severe pes planus (talipes calcaneovalgus) .( Courtesy Dr . V . Penopoulos ) .

Marfan's Syndrome . Abdominal CT Scan . Acute Appendicitis .( Courtesy Dr . V . Penopoulos ) .

Stromal Endometriosis . Terminal ileum obstruction (Courtesy Dr. V. Penopoulos)

Urine of a patient with rhabdomyolysis.(Courtesy Dr. V. Penopoulos).

Compartment Syndrome . Fasciotomy of the left lower extremity (Courtesy Dr. V. Penopoulos)

Schematic illustration of rhabdomyolysis mechanism.

Compartment Syndrome of the left lower extremity (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Malignantly transformed ileal polyp (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Plain abdominal X-Rays.Small bowel air-fluid levels.Intussusception.(Courtesy Dr.V.Penopoulos).

Peutz-Jeghers Syndrome . Benign polyp – lead point of intussusception (Courtesy Dr. V. Penopoulos)

Peutz-Jeghers Syndrome . Abdominal CT Scan.Small bowel intussusception.(Courtesy Dr.V.Penopoulos).

Peutz-Jeghers Syndrome . Plain abdominal X-Rays.Small bowel air-fluid levels.Intussusception.(Courtesy Dr.V.Penopoulos).

Sweet syndrome . Recto-sigmoidectomy specimen.(Courtesy Dr.V.Penopoulos).

Sweet syndrome - Rectosigmoid carcinoma . (Courtesy Dr. V. Penopoulos)

Sweet syndrome . Rectosigmoid adenocarcinoma .Large bowel obstruction . (Courtesy Dr.V.Penopoulos).

Sweet syndrome . Rectosigmoid adenocarcinoma .Large bowel obstruction . (Courtesy Dr.V.Penopoulos).

Cuteneous lesion of Sweet syndrome.(Courtesy Dr.V.Penopoulos).

Cuteneous lesion of Sweet syndrome.(Courtesy Dr.V.Penopoulos).

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)

Cuteneous lesion of Sweet syndrome.(Courtesy Dr.V.Penopoulos).