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Intestinal Obstruction

  • Jae Hoon Lim
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

The diagnosis of bowel obstruction used to be made by means of clinical history, physical examination, plain abdominal radiography, and in particular multidetector CT scanning that is very useful in revealing the level and cause of obstruction. Sonography is less helpful than CT in patients with intestinal obstruction due to the presence of abundant gas in the intestinal tract, which prevents the satisfactory examination of the abdomen and the detection of adhesions, the most common cause of intestinal obstruction. However, when the obstructed bowel segments are dilated and filled with fluid, the dilated segments of the bowel loops are well demonstrated and the cause of obstruction can be demonstrated by sonography using fluid-filled bowel as a sonic window. Judicious use of sonography in evaluating patients with bowel obstruction may be helpful in confirmation of the presence of obstruction, in determination of the level of obstruction, and in identification of the cause of obstruction.

Keywords

Bowel Obstruction Small Bowel Obstruction Bowel Loop Colon Obstruction Paralytic Ileus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Amberg JR (1994) Overview: the acute abdomen. In: Margulis AR, Burhenne HJ (eds) Alimentary tract radiology, 5th edn. Mosby, St. Louis, pp 2118–2119Google Scholar
  2. Davir RJ, Sandrasagra FA, Joseph AEA (1991) Ultrasound diagnosis of gallstone ileus. Clin Radiol 43:282–284CrossRefGoogle Scholar
  3. Dunn JT, Halls JM, Berne TV (1984) Roentgenographic contrast studies in acute small bowel obstruction. Arch Surg 119:1305–1308PubMedCrossRefGoogle Scholar
  4. Furukawa A, Yamasaki M, Furuichi K et al (2001) Helical CT in the diagnosis of small bowel obstruction. RadioGraphics 21:341–355PubMedGoogle Scholar
  5. Gore RM, Eisenberg RL (1994) Large bowel obstruction. In: Gore RM, Levine MS, Laufer I (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 1247–1258Google Scholar
  6. Herlinger H, Maglinte DDT (1989) Small bowel obstruction. In: Herlinger H, Maglinte DDT (eds) Clinical radiology of the small intestine. Saunders, Philadelphia, pp 479–509Google Scholar
  7. Ko YT, Lim JH, Lee DH, Lee HW, Lim JW (1993a) Small bowel obstruction: sonographic evaluation. Radiology 188:649–653PubMedGoogle Scholar
  8. Ko YT, Lim JH, Lee DH, Yoon Y (1993b) Small bowel phytobezoars: sonographic detection. Abdom Imaging 18:271–273PubMedCrossRefGoogle Scholar
  9. Kojima Y, Tsuchiyama T, Niimoto S, Nakagawara G (1992) Adult intussception caused by cecal cancer and diagnosed preoperatively by ultrasonography. J Clin Ultrasound 20:360–363PubMedCrossRefGoogle Scholar
  10. Lee DH, Lim JH, Ko YT (1991) Afferent loop syndrome: sonographic findings in seven cases. AJR Am J Rogentgenol 157:41–43CrossRefGoogle Scholar
  11. Lim JH, Ko YT, Lee DH et al (1994) Determining the site and causes of colonic obstruction with sonography. AJR Am J Rogentgenol 163:1113–1117CrossRefGoogle Scholar
  12. Megibow AJ, Balthazer EJ, Cho KC, Medwid SW, Birnbaum BA, Noz ME (1991) Bowel obstruction: evaluation with CT. Radiology 180:313–318PubMedGoogle Scholar
  13. Meiser G, Meissner K (1985) Sonographic differential diagnosis of intestinal obstruction: results of a prospective study of 48 patients. Ultraschall Med 6:39–45PubMedCrossRefGoogle Scholar
  14. Mucha P (1987) Small intestinal obstruction. Surg Clin North Am 67:597–620PubMedGoogle Scholar
  15. Patak MA, Mortele KJ, Ros PR (2005) Multidetector row CT of the small bowel. Radiol Clin North Am 43:1063–1077PubMedCrossRefGoogle Scholar
  16. Sinha R, Verma R (2005a) Multidetector row computed tomography in bowel obstruction. Part 1 small bowel obstruction. Clin Radiol 60:1058–1067PubMedCrossRefGoogle Scholar
  17. Sinha R, Verma R (2005b) Multidetector row computed tomography in bowel obstruction. Part 2 large bowel obstruction. Clin Radiol 60:1068–1075PubMedCrossRefGoogle Scholar
  18. Taourel PG, Fabre JM, Pradel JA, Seneterre EJ, Megibow AJ, Bruel JM (1995) Value of CT in the diagnosis and management of patients with suspected acute small bowel obstruction. AJR Am J Roentgenol 165:1187–1192PubMedCrossRefGoogle Scholar
  19. Tennenhouse JE, Wilson SR (1990) Sonographic detection of a small bowel bezoar. J Ultrasound Med 9:603–605PubMedGoogle Scholar
  20. Verschelden P, Filiatrault D, Garel L et al (1992) Intussusception in children: reliability of US in diagnosis: a preoperative study. Radiology 184:741–744PubMedGoogle Scholar
  21. Weissberg Dl, Scheible W, Leopold GR (1977) Ultrasonographic appearance of adult intussusception. Radiology 124:791–792Google Scholar
  22. Wilson SR (1991) The gastrointestinal tract. In: Rumack CM, Wilson SR, Charboneau JW (eds) Diagnostic ultrasound. Mosby, St Louis, pp 181–206Google Scholar
  23. Wilson SR (1994) The acute abdomen of gastrointestinal tract origin: sonographic evaluation. In: Margulis AR, Burhenne HJ (eds) Alimentary tract radiology, 5th edn. Mosby, St. Louis, pp 2099–2117Google Scholar
  24. Woo SK, Kim JS, Suh SJ, Paik TW, Choi SO (1992) Childhood intussusception: US-guided hydrostatic reduction. Radiology 182:77–80Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Radiology and Center for Imaging ScienceSamsung Medical Center, Sungkyunkwan University School of MedicineSeoulKorea

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