Radiology CME & MOC Cases from JAMA Network

Clinical Challenges in Surgery

Can you correctly diagnose and treat unusual complications following gastrointestinal surgery, cardiothoracic surgery, vascular surgery, bariatric surgery, and more?

Browse the full JN Learning collection of over 250 Surgery CME activities. Take the activities on JN Learning to receive more than 250 CME Credits.

CME 1.0

Irregular Lipomatous Extremity Tumor
A 71-year-old otherwise healthy woman presented with an enlarging, immobile, painless mass in her right gluteal area.
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CME 1.0

Violaceous Nodules in an Annular Configuration Encircling an Orthotopic Liver Transplant Scar
A man in his 50s presented with an abdominal skin eruption of 2 days’ duration.
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CME 1.0

Abdominal Pain and Vomiting in a Pregnant Woman Who Has Had a Gastric Bypass Procedure
A 31-year-old gravida 2, para 1 patient of 36 weeks’ gestation had undergone a laparoscopic Roux-en-Y gastric bypass 4 years ago, resulting in prepregnancy weight loss of 70 kg, or 128% of her excess weight. She awakened with severe lower back pain, abdominal pain, nausea, and vomiting.
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CME 1.0

Central Scotoma After Liver Transplant
A 54-year-old man with a medical history of poorly controlled diabetes and hepatitis C–associated liver failure presented with a new central scotoma of the right eye 3 days after orthotopic liver transplant.
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CME 1.0

A Not-So-Simple Groin Mass
A 55-year-old man with a history of Childs B cirrhosis presented with a 2.5-year history of right groin pain and increased urinary frequency with difficulty voiding.
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CME 1.0

Chronic Back Pain and a Bulge
A 65-year-old woman was seen at the surgical clinic with reports of chronic back pain and a bulge in her back. History revealed multilevel cervical and lumbar fusion surgical procedures using anterior, left lateral, and posterior approaches over a 10-year period.
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CME 1.0

Acute Abdominal Pain in a Postmenopausal Woman
A postmenopausal woman in her mid-50s (gravida 2, aborta 2) with a known history of endometriosis and adenomyosis presented to the emergency department with severe abdominal pain that she rated 10 of 10 in intensity and which had developed suddenly 5 days before presentation.
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CME 1.0

Computed Tomography in a Patient With Blunt Trauma
A man in his 60s with a known history of a large cyst on the right kidney sustained blunt trauma in a skiing crash. Computed tomography (CT) showed a right-sided grade IV renal injury involving his known renal cyst with active arterial extravasation.
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CME 1.0

Acute Pancreatitis After Pancreaticoduodenectomy
A man in his 70s with history of pancreatic adenocarcinoma who had undergone a Whipple procedure 2 years prior to presentation came to the emergency department with a 1-day history of waxing and waning sharp abdominal pain radiating to his back.
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CME 1.0

A Large Adrenal Tumor With Marked ¹⁸F-Fluorodeoxyglucose Uptake
A 56-year-old woman was referred for evaluation of an incidentally discovered adrenal mass.
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