Volvulus x ray
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Volvulus x ray On the Web |
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American Roentgen Ray Society Images of Volvulus x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
An x-ray (with or without contrast) may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of sigmoid, cecal and ileal volvulus include: U-shaped, distended segment of colon seen as an ahaustral collection of gas volvulus. Findings on an x-ray suggestive of gastric volvulus includes a single, large, spherical gas bubble located in the upper abdomen or chest with an air-fluid level. It is important to rule out pneumoperitoneum before carrying out a barium enema.
X Ray
- A plain x-ray without contrast may be helpful in the diagnosis of volvulus. Findings on an x-ray suggestive of volvulus include:[1][2][3]
- The following result of plain x-ray with contrast barium enema is indicative of volvulus:
- Bird beak appearance or twisted tapering of afferent and efferent colonic segments
- Plain x-ray with contrast barium enema can be utilized in the following circumstances:
- Plain x-ray with contrast barium enema is contraindicated in:
- Peritonitis
- Pneumoperitoneum
- Necrotic bowel
It is important to rule out pneumoperitoneum, this means that a perforation in the bowel has occurred and that air is in the peritoneum. It is a surgical emergency.
References
- ↑ Mangiante EC, Croce MA, Fabian TC, Moore OF, Britt LG (1989). "Sigmoid volvulus. A four-decade experience". Am Surg. 55 (1): 41–4. PMID 2643910.
- ↑ Oh SK, Han BK, Levin TL, Murphy R, Blitman NM, Ramos C (2008). "Gastric volvulus in children: the twists and turns of an unusual entity". Pediatr Radiol. 38 (3): 297–304. doi:10.1007/s00247-007-0709-5. PMID 18200442.
- ↑ Long FR, Kramer SS, Markowitz RI, Taylor GE (1996). "Radiographic patterns of intestinal malrotation in children". Radiographics. 16 (3): 547–56, discussion 556–60. doi:10.1148/radiographics.16.3.8897623. PMID 8897623.