Hirschsprung's disease other imaging findings: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) No edit summary |
|||
| (2 intermediate revisions by 2 users not shown) | |||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
[[Barium enema]] is the mainstay of Hirschsprung’s disease diagnosis. [[Barium enema]] findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the [[colon]] in the shape of an inverted cone, which is the most characteristic radiologic finding. | [[Barium enema]] is the mainstay of Hirschsprung’s disease diagnosis. [[Barium enema]] findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the [[colon]] in the shape of an inverted cone, which is the most characteristic radiologic finding. | ||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
| Line 11: | Line 11: | ||
* A transition zone between the narrow and dilated portions of the [[colon]] in the shape of an inverted cone is the most characteristic radiologic finding. | * A transition zone between the narrow and dilated portions of the [[colon]] in the shape of an inverted cone is the most characteristic radiologic finding. | ||
* When this transition zone is observed, the examination should be discontinued because filling of proximal dilated bowel beyond the transition zone may lead to impaction. | * When this transition zone is observed, the examination should be discontinued because filling of proximal dilated bowel beyond the transition zone may lead to impaction. | ||
*Radiologic diagnosis of total colonic aganglionosis is difficult. Findings from [[barium enema]] examination may be normal or may show a short [[colon]] of normal caliber, microcolon, or a transition zone in the [[ileum]]. | *Radiologic diagnosis of total colonic aganglionosis is difficult. Findings from [[barium enema]] examination may be normal or may show a short [[colon]] of normal caliber, microcolon, or a transition zone in the [[ileum]].<ref name="pmid24002048">{{cite journal |vauthors=Burkardt DD, Graham JM, Short SS, Frykman PK |title=Advances in Hirschsprung disease genetics and treatment strategies: an update for the primary care pediatrician |journal=Clin Pediatr (Phila) |volume=53 |issue=1 |pages=71–81 |year=2014 |pmid=24002048 |doi=10.1177/0009922813500846 |url=}}</ref> | ||
<gallery> | <gallery> | ||
Image: | Image: | ||
Hirschsprung's disease001.jpg | Hirschsprung's disease001.jpg|thumb|Case courtesy of Radswiki, Radiopaedia.org, rID: 11495 | ||
Image: | Image: | ||
Hirschsprung's disease004.jpg | Hirschsprung's disease004.jpg|thumb|Case courtesy of Radswiki, Radiopaedia.org, rID: 11495 | ||
Image: | Image: | ||
Hirschsprung's disease002.jpg | Hirschsprung's disease002.jpg|thumb|Case courtesy of Radswiki, Radiopaedia.org, rID: 11495 | ||
Image: | Image: | ||
Hirschsprung's disease003.jpg | Hirschsprung's disease003.jpg|thumb|Case courtesy of Radswiki, Radiopaedia.org, rID: 11495 | ||
</gallery> | </gallery> | ||
Latest revision as of 15:44, 21 August 2017
|
Hirschsprung's disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hirschsprung's disease other imaging findings On the Web |
|
American Roentgen Ray Society Images of Hirschsprung's disease other imaging findings |
|
Risk calculators and risk factors for Hirschsprung's disease other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Barium enema is the mainstay of Hirschsprung’s disease diagnosis. Barium enema findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone, which is the most characteristic radiologic finding.
Other Imaging Findings
Barium Enema
- Barium enema studies demonstrate patency of the colon, which is short but usually normal in caliber.
- A transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone is the most characteristic radiologic finding.
- When this transition zone is observed, the examination should be discontinued because filling of proximal dilated bowel beyond the transition zone may lead to impaction.
- Radiologic diagnosis of total colonic aganglionosis is difficult. Findings from barium enema examination may be normal or may show a short colon of normal caliber, microcolon, or a transition zone in the ileum.[1]
-
Case courtesy of Radswiki, Radiopaedia.org, rID: 11495
-
Case courtesy of Radswiki, Radiopaedia.org, rID: 11495
-
Case courtesy of Radswiki, Radiopaedia.org, rID: 11495
-
Case courtesy of Radswiki, Radiopaedia.org, rID: 11495
References
- ↑ Burkardt DD, Graham JM, Short SS, Frykman PK (2014). "Advances in Hirschsprung disease genetics and treatment strategies: an update for the primary care pediatrician". Clin Pediatr (Phila). 53 (1): 71–81. doi:10.1177/0009922813500846. PMID 24002048.