Toxic megacolon abdominal x ray: Difference between revisions
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{{Toxic megacolon}} | {{Toxic megacolon}} | ||
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==Overview== | ==Overview== | ||
An abdominal [[ | An [[x-ray]] may be helpful in the diagnosis of toxic megacolon. Findings on an [[X-rays|x-ray]] diagnostic of toxic megacolon include dilated [[transverse colon]] (>6cm), [[thumbprinting]], free [[intraperitoneal]] air and intraluminal soft-tissue masses. | ||
==X Ray== | |||
*An x-ray may be helpful in the diagnosis of toxic megacolon. Findings on an [[x-ray]] diagnostic of toxic megacolon include:<ref name="pmid1246881">{{cite journal |vauthors=Rosenberg M |title=Toxic megacolon |journal=West. J. Med. |volume=124 |issue=2 |pages=122–7 |year=1976 |pmid=1246881 |pmc=1130453 |doi= |url=}}</ref><ref name="pmid24505155">{{cite journal |vauthors=James B, Kelly B |title=The abdominal radiograph |journal=Ulster Med J |volume=82 |issue=3 |pages=179–87 |year=2013 |pmid=24505155 |pmc=3913410 |doi= |url=}}</ref><ref name="pmid23416499">{{cite journal |vauthors=Leal RF, Ward M, Ayrizono Mde L, de Paiva NM, Bellaguarda E, Rossi DH, Vieira NP, Fagundes JJ, Rodrigues Coy CS |title=Free peritoneal perforation in a patient with Crohn's disease - Report of a case |journal=Int J Surg Case Rep |volume=4 |issue=3 |pages=322–4 |year=2013 |pmid=23416499 |pmc=3604674 |doi=10.1016/j.ijscr.2012.12.018 |url=}}</ref><ref>{{cite book | last = Miller | first = Roscoe | title = The Radiological Examination of the Colon : Practical Diagnosis | publisher = Springer Netherlands | location = Dordrecht | year = 1983 | isbn = 9789400967847 }}</ref><ref name="pmid7389174">{{cite journal |vauthors=Fazio VW |title=Toxic megacolon in ulcerative colitis and Crohn's colitis |journal=Clin Gastroenterol |volume=9 |issue=2 |pages=389–407 |year=1980 |pmid=7389174 |doi= |url=}}</ref><ref name="Strong2010">{{cite journal|last1=Strong|first1=Scott|title=Management of Acute Colitis and Toxic Megacolon|journal=Clinics in Colon and Rectal Surgery|volume=23|issue=04|year=2010|pages=274–284|issn=1531-0043|doi=10.1055/s-0030-1268254}}</ref> | |||
**Dilated [[transverse colon]] (>6cm) | |||
**[[Thumbprinting]] | |||
**Free [[Intraperitoneal|intraperitonea]]<nowiki/>l air | |||
**Intraluminal soft-tissue masses | |||
[[File:Output kYdEyM(1).gif|400px|thumb|left|X-ray showing toxic megacolon [https://radiopaedia.org/cases/toxic-megacolon-1 source:Case courtesy of Dr Sinéad Culleton, Radiopedia]]] | |||
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[[File:Toxic megacolon gif.gif|400px|thumb|left|X-ray showing toxic megacolon [https://commons.wikimedia.org/wiki/File%3AToxisches_Megacolon_bei_Colitis_ulcerosa.jpg source:By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], Wikimediacommons]]] | |||
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==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
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[[Category:Radiology]] | |||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 14:55, 13 March 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
An x-ray may be helpful in the diagnosis of toxic megacolon. Findings on an x-ray diagnostic of toxic megacolon include dilated transverse colon (>6cm), thumbprinting, free intraperitoneal air and intraluminal soft-tissue masses.
X Ray
- An x-ray may be helpful in the diagnosis of toxic megacolon. Findings on an x-ray diagnostic of toxic megacolon include:[1][2][3][4][5][6]
- Dilated transverse colon (>6cm)
- Thumbprinting
- Free intraperitoneal air
- Intraluminal soft-tissue masses
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References
- ↑ Rosenberg M (1976). "Toxic megacolon". West. J. Med. 124 (2): 122–7. PMC 1130453. PMID 1246881.
- ↑ James B, Kelly B (2013). "The abdominal radiograph". Ulster Med J. 82 (3): 179–87. PMC 3913410. PMID 24505155.
- ↑ Leal RF, Ward M, Ayrizono Mde L, de Paiva NM, Bellaguarda E, Rossi DH, Vieira NP, Fagundes JJ, Rodrigues Coy CS (2013). "Free peritoneal perforation in a patient with Crohn's disease - Report of a case". Int J Surg Case Rep. 4 (3): 322–4. doi:10.1016/j.ijscr.2012.12.018. PMC 3604674. PMID 23416499.
- ↑ Miller, Roscoe (1983). The Radiological Examination of the Colon : Practical Diagnosis. Dordrecht: Springer Netherlands. ISBN 9789400967847.
- ↑ Fazio VW (1980). "Toxic megacolon in ulcerative colitis and Crohn's colitis". Clin Gastroenterol. 9 (2): 389–407. PMID 7389174.
- ↑ Strong, Scott (2010). "Management of Acute Colitis and Toxic Megacolon". Clinics in Colon and Rectal Surgery. 23 (04): 274–284. doi:10.1055/s-0030-1268254. ISSN 1531-0043.