Volvulus x ray: Difference between revisions
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{{Volvulus}} | {{Volvulus}} | ||
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==Overview== | ==Overview== | ||
An x-ray (with or without contrast) may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of [[Sigmoid colon|sigmoid]], [[Cecum|cecal]] | |||
and [[Ileum|ileal]] volvulus include: U-shaped, distended segment of colon seen as an ahaustral collection of gas volvulus. Findings on an x-ray suggestive of [[Stomach|gastric]] volvulus includes a single, large, spherical gas bubble located in the upper abdomen or chest with an air-fluid level. It is important to rule out [[pneumoperitoneum]] before carrying out a [[barium enema]]. | |||
==X Ray== | ==X Ray== | ||
* | *A plain x-ray without contrast may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of volvulus include:<ref name="pmid2643910">{{cite journal |vauthors=Mangiante EC, Croce MA, Fabian TC, Moore OF, Britt LG |title=Sigmoid volvulus. A four-decade experience |journal=Am Surg |volume=55 |issue=1 |pages=41–4 |year=1989 |pmid=2643910 |doi= |url=}}</ref><ref name="pmid18200442">{{cite journal |vauthors=Oh SK, Han BK, Levin TL, Murphy R, Blitman NM, Ramos C |title=Gastric volvulus in children: the twists and turns of an unusual entity |journal=Pediatr Radiol |volume=38 |issue=3 |pages=297–304 |year=2008 |pmid=18200442 |doi=10.1007/s00247-007-0709-5 |url=}}</ref><ref name="pmid8897623">{{cite journal |vauthors=Long FR, Kramer SS, Markowitz RI, Taylor GE |title=Radiographic patterns of intestinal malrotation in children |journal=Radiographics |volume=16 |issue=3 |pages=547–56; discussion 556–60 |year=1996 |pmid=8897623 |doi=10.1148/radiographics.16.3.8897623 |url=}}</ref> | ||
< | **[[Sigmoid colon|Sigmoid]]/[[Cecum|cecal]]/[[Ileum|ileal]] volvulus: U-shaped, distended segment of colon seen as an ahaustral collection of gas | ||
< | **[[Stomach|Gastric]] volvulus: Single, large, spherical gas bubble located in the upper abdomen or chest with an air-fluid level | ||
*The following result of plain [[X-rays|x-ray]] with [[Lower gastrointestinal series|contrast barium enema]] is indicative of volvulus: | |||
**Bird beak appearance or twisted tapering of afferent and efferent colonic segments | |||
*Plain [[X-rays|x-ray]] with [[Lower gastrointestinal series|contrast barium enema]] can be utilized in the following circumstances: | |||
**Therapeutically in an attempt to reduce volvulus | |||
**If plain [[X-rays|x-ray]] is not diagnostic and [[Computed tomography|CT]] is not available | |||
*Plain [[X-rays|x-ray]] with [[Lower gastrointestinal series|contrast barium enema]] is contraindicated in: | |||
**[[Peritonitis]] | |||
**[[Pneumoperitoneum]] | |||
**Necrotic bowel | |||
It is important to rule out [[pneumoperitoneum]], this means that a perforation in the bowel has occurred and that air is in the [[peritoneum]]. It is a surgical emergency.[[Image:Output vaNjYv.gif|thumb|center|500px|"Coffee bean sign" seen in sigmoid volvulus. Courtesy of Hellerhoff - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=27617915]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category: | |||
[[Category:Disease]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Imaging]] | |||
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Latest revision as of 00:05, 9 January 2018
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Volvulus Microchapters |
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Volvulus x ray On the Web |
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American Roentgen Ray Society Images of Volvulus x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
An x-ray (with or without contrast) may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of sigmoid, cecal and ileal volvulus include: U-shaped, distended segment of colon seen as an ahaustral collection of gas volvulus. Findings on an x-ray suggestive of gastric volvulus includes a single, large, spherical gas bubble located in the upper abdomen or chest with an air-fluid level. It is important to rule out pneumoperitoneum before carrying out a barium enema.
X Ray
- A plain x-ray without contrast may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of volvulus include:[1][2][3]
- The following result of plain x-ray with contrast barium enema is indicative of volvulus:
- Bird beak appearance or twisted tapering of afferent and efferent colonic segments
- Plain x-ray with contrast barium enema can be utilized in the following circumstances:
- Plain x-ray with contrast barium enema is contraindicated in:
- Peritonitis
- Pneumoperitoneum
- Necrotic bowel
It is important to rule out pneumoperitoneum, this means that a perforation in the bowel has occurred and that air is in the peritoneum. It is a surgical emergency.
References
- ↑ Mangiante EC, Croce MA, Fabian TC, Moore OF, Britt LG (1989). "Sigmoid volvulus. A four-decade experience". Am Surg. 55 (1): 41–4. PMID 2643910.
- ↑ Oh SK, Han BK, Levin TL, Murphy R, Blitman NM, Ramos C (2008). "Gastric volvulus in children: the twists and turns of an unusual entity". Pediatr Radiol. 38 (3): 297–304. doi:10.1007/s00247-007-0709-5. PMID 18200442.
- ↑ Long FR, Kramer SS, Markowitz RI, Taylor GE (1996). "Radiographic patterns of intestinal malrotation in children". Radiographics. 16 (3): 547–56, discussion 556–60. doi:10.1148/radiographics.16.3.8897623. PMID 8897623.