Ultrasound in the evaluation of necrotic bowel in children: A pictorial essay
| Autor: | Harvey E. L. Teo, Margaret Yw Lee, Mark Qw Wang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology business.industry Radiography digestive oral and skin physiology Ultrasound medicine.disease digestive system diseases 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Plain radiography Pneumoperitoneum Intussusception (medical disorder) Pictorial Essay Medicine Radiology Nuclear Medicine and imaging Plain radiographs Radiology business Pathological Diverticulum |
| Zdroj: | Ultrasound |
| ISSN: | 1743-1344 1742-271X |
| DOI: | 10.1177/1742271x18814864 |
| Popis: | Necrotic bowel is a serious condition involving death of gastrointestinal tissue. The diagnosis is difficult to make clinically, and plain radiography is often inconclusive. Ultrasonography is an inexpensive, portable and readily available complementary diagnostic tool. In some cases, ultrasonography can detect features of necrotic bowel earlier than plain radiography or when plain radiography is equivocal and does not correlate with the clinical findings. This pictorial essay aims to compare the ultrasonography features of normal bowel and necrotic bowel in children. The role of ultrasonography and the ultrasonographic features of necrotic bowel will be illustrated by discussing some of the causes of necrotic bowel in children. Correlation with plain radiographs and pathological specimens is made. Frequent causes of necrotic bowel in neonates include necrotising enterocolitis, malrotation with small bowel volvulus and incarcerated inguinal hernias. Causes in older children include intussusception, complications of Meckel’s diverticulum, post-surgical adhesions, internal hernias and vasculitic abnormalities. Ultrasonography features suggestive of necrotic bowel include persistently dilated loops of aperistaltic bowel, increase or decrease of bowel wall thickness, intramural or portal venous gas, loss of bowel wall perfusion, and free intraperitoneal gas and fluid. The diagnosis of necrotic bowel may be made earlier on ultrasonography than on abdominal radiographs alone. This pictorial essay will familiarise the reader with the role of ultrasonography and the ultrasonographic features of necrotic bowel through a wide range of conditions that may cause necrotic bowel in children. Familiarity with these findings will facilitate timely imaging diagnosis of necrotic bowel before complications develop. |
| Databáze: | OpenAIRE |
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