Intussusception x ray: Difference between revisions
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{{Intussusception}} | {{Intussusception}} | ||
'''Editor-In-Chief:''' [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com <nowiki>[1]</nowiki>]; '''Associate Editor(s)-in-Chief: '''[[User:Sargun Walia|Sargun Singh Walia M.B.B.S.]][mailto:swalia1@bidmc.harvard.edu <nowiki>[2]</nowiki>] | |||
==Overview== | ==Overview== | ||
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*** A soft tissue density projecting into the gas of the large bowel. | *** A soft tissue density projecting into the gas of the large bowel. | ||
** Concealed liver margin.<ref name="pmid20401973">{{cite journal |vauthors=Saverino BP, Lava C, Lowe LH, Rivard DC |title=Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population |journal=Pediatr Emerg Care |volume=26 |issue=4 |pages=281–4 |year=2010 |pmid=20401973 |doi= |url=}}</ref> | ** Concealed liver margin.<ref name="pmid20401973">{{cite journal |vauthors=Saverino BP, Lava C, Lowe LH, Rivard DC |title=Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population |journal=Pediatr Emerg Care |volume=26 |issue=4 |pages=281–4 |year=2010 |pmid=20401973 |doi= |url=}}</ref> | ||
'''Patient #1''' | '''Patient #1''' | ||
Revision as of 03:46, 13 December 2017
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American Roentgen Ray Society Images of Intussusception |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]
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.
- Distended loops of bowel with absence of colonic gas (sign of intestinal obstruction).
- Target sign
- Two concentric radiolucent circles superimposed on the right kidney.
- This signifies peritoneal fat around the intussusception.
- A study shows target sign is present in 26% of patients.[1]
- Crescent sign
- A soft tissue density projecting into the gas of the large bowel.
- Concealed liver margin.[2]
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References
- ↑ Ratcliffe JF, Fong S, Cheong I, O'Connell P (1992). "Plain film diagnosis of intussusception: prevalence of the target sign". AJR Am J Roentgenol. 158 (3): 619–21. doi:10.2214/ajr.158.3.1739006. PMID 1739006.
- ↑ Saverino BP, Lava C, Lowe LH, Rivard DC (2010). "Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population". Pediatr Emerg Care. 26 (4): 281–4. PMID 20401973.