Intussusception x ray: Difference between revisions

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==Overview==
==Overview==
An [[x-ray]] of the abdomen may be indicated for evaluation of intestinal obstruction or the presence of free intraperitoneal gas; the latter finding would imply that bowel perforation has already occurred. In some institutions, air [[enema]] is used for diagnosis as the same procedure can be used for treatment.
An x-ray may be helpful in the diagnosis of intussusception. Plain x-ray abdomen of patient are done in supine and upright position. Findings on an x-ray suggestive of/diagnostic of intussusception include absence of air in right lower quadrant and right upper quadrant, soft tissue density in right upper quadrant in 25-60% of patients, and normal in 60% of cases.


==X Ray Images==
==X Ray Images==
===Plain film===
===Plain film===
 
* An x-ray may be helpful in the diagnosis of intussusception. Findings on an x-ray suggestive of/diagnostic of intussusception include:
*May be normal
** Normal in 60% of cases.
*Dilated small bowel and absence of gas in the region of the cecum.  
** Absence of air in right lower quadrant and right upper quadrant.
*Occasionally, a mass impression within the colonic gas indicates an intraluminal mass created by the intussuscepting loop
** Soft tissue density in right upper quadrant in 25-60% of patients.


'''Patient #1'''
'''Patient #1'''


[[Image:Intussusseption 1.jpg|left|300px|thumb|Direct graphy: Intussusception [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology].]]  
[[Image:Intussusseption 1.jpg|left|300px|thumb|Direct graphy: Intussusception [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology].]]  
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'''Patient #3'''
'''Patient #3'''

Revision as of 03:21, 13 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

An x-ray may be helpful in the diagnosis of intussusception. Plain x-ray abdomen of patient are done in supine and upright position. Findings on an x-ray suggestive of/diagnostic of intussusception include absence of air in right lower quadrant and right upper quadrant, soft tissue density in right upper quadrant in 25-60% of patients, and normal in 60% of cases.

X Ray Images

Plain film

  • An x-ray may be helpful in the diagnosis of intussusception. Findings on an x-ray suggestive of/diagnostic of intussusception include:
    • Normal in 60% of cases.
    • Absence of air in right lower quadrant and right upper quadrant.
    • Soft tissue density in right upper quadrant in 25-60% of patients.

Patient #1

Direct graphy: Intussusception Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology.


Patient #3

Images courtesy of RadsWiki


References

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