Ileus x ray: Difference between revisions
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==X Ray== | ==X Ray== | ||
An abdominal x-ray with barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include:<ref name="pmid1352138">{{cite journal |vauthors=Tollesson PO, Cassuto J, Rimbäck G |title=Patterns of propulsive motility in the human colon after abdominal operations |journal=Eur J Surg |volume=158 |issue=4 |pages=233–6 |year=1992 |pmid=1352138 |doi= |url=}}</ref><ref name="pmid22940683">{{cite journal |vauthors=Hansmann J, Eichholz J |title=[Radiological diagnostics of the small bowel] |language=German |journal=Radiologe |volume=52 |issue=9 |pages=849–66 |year=2012 |pmid=22940683 |doi=10.1007/s00117-011-2278-8 |url=}}</ref> | An supine upright abdominal x-ray with or without barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include:<ref name="pmid1352138">{{cite journal |vauthors=Tollesson PO, Cassuto J, Rimbäck G |title=Patterns of propulsive motility in the human colon after abdominal operations |journal=Eur J Surg |volume=158 |issue=4 |pages=233–6 |year=1992 |pmid=1352138 |doi= |url=}}</ref><ref name="pmid22940683">{{cite journal |vauthors=Hansmann J, Eichholz J |title=[Radiological diagnostics of the small bowel] |language=German |journal=Radiologe |volume=52 |issue=9 |pages=849–66 |year=2012 |pmid=22940683 |doi=10.1007/s00117-011-2278-8 |url=}}</ref> | ||
*Multiple air–fluid levels throughout the abdomen. | *Multiple air–fluid levels throughout the abdomen. | ||
*Elevated diaphragm. | *Elevated diaphragm. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
An abdominal x-ray with barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include multiple air–fluid levels throughout the abdomen, elevated diaphragm with dilatation of both large and small intestine, slow movement of barium with a patent intestinal lumen. Serial X rays may also differentiate paralytic ileus from mechanical small intestinal obstruction.
X Ray
An supine upright abdominal x-ray with or without barium meal (small bowel series) may be helpful in the diagnosis of ileus. Findings on an x-ray suggestive of ileus include:[1][2]
- Multiple air–fluid levels throughout the abdomen.
- Elevated diaphragm.
- Dilatation of both large and small intestine.
- Slow movement of barium with a patent intestinal lumen.
- Serial x rays show non progressive distention as compared to progressive distension seen in mechanical obstruction have.
- Serial x rays can also be used to detect the resolution of ileus which proceed in proximal to distally fasion. The return of propulsive activity to the right colon occurs earlier than to the transverse or left colon.
References
- ↑ Tollesson PO, Cassuto J, Rimbäck G (1992). "Patterns of propulsive motility in the human colon after abdominal operations". Eur J Surg. 158 (4): 233–6. PMID 1352138.
- ↑ Hansmann J, Eichholz J (2012). "[Radiological diagnostics of the small bowel]". Radiologe (in German). 52 (9): 849–66. doi:10.1007/s00117-011-2278-8. PMID 22940683.