Ileus x ray: Difference between revisions
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==Overview== | ==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 large intestine|dilatation of both large]] and [[small intestine]], slow movement of [[barium]] with a [[patent]] [[intestinal]] [[lumen]]. Serial [[X-rays|x rays]] may also differentiate paralytic ileus from mechanical [[Small bowel obstruction|small intestinal obstruction]]. | An [[abdomen|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 large intestine|dilatation of both large]] and [[small intestine]], slow movement of [[barium]] with a [[patent]] [[intestinal]] [[lumen]]. Serial [[X-rays|x rays]] may also differentiate [[ileus|paralytic ileus]] from mechanical [[Small bowel obstruction|small intestinal obstruction]]. | ||
==X Ray== | ==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:<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]]. | ||
*Elevation of [[diaphragm]]. | *Elevation of [[diaphragm]]. | ||
*[[Dilatation]] of both [[Large intestine|large]] and [[small intestine]]. | *[[Dilatation]] of both [[Large intestine|large]] and [[small intestine]] with no transition point. | ||
*Slow movement of [[barium]] with a [[patent]] [[intestinal]] [[lumen]]. | *Slow movement of [[barium]] with a [[patent]] [[intestinal]] [[lumen]]. | ||
*Serial [[x rays]] may show non progressive [[distension]] as compared to progressive [[distension]] seen in case of | *Serial [[x rays]] may show non progressive [[distension]] as compared to progressive [[distension]] seen in case of [[bowel obstruction|mechanical obstruction]] . | ||
*Serial [[x rays]] can also be used to detect the [[resolution]] of ileus which proceed in [[proximal]] to [[distal]] fashion. The return of propulsive activity to the right [[colon]] occurs earlier than to the transverse or left [[colon]]. | *Serial [[x rays]] can also be used to detect the [[resolution]] of [[ileus]] which proceed in [[proximal]] to [[distal]] fashion. The return of propulsive activity to the right [[Colon (anatomy)|colon]] occurs earlier than to the transverse or left [[colon]]. | ||
[[File:Ileus X ray.png|center|300px|frame|Plain abdominal X ray showing paralytic ileus.(Source: Case courtesy of <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/11177">rID: 11177</a>)]] | [[File:Ileus X ray.png|center|300px|frame|Plain abdominal X ray showing paralytic ileus.(Source: Case courtesy of <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/11177">rID: 11177</a>)]] | ||
Revision as of 19:28, 11 October 2020
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kEditor-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.
- Elevation of diaphragm.
- Dilatation of both large and small intestine with no transition point.
- Slow movement of barium with a patent intestinal lumen.
- Serial x rays may show non progressive distension as compared to progressive distension seen in case of mechanical obstruction .
- Serial x rays can also be used to detect the resolution of ileus which proceed in proximal to distal fashion. 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.
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