Skip to main content
Log in

Use of twinkling artifact in sonographic detection of intestinal pneumatosis

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

Intestinal pneumatosis is a relatively rare condition that has been associated with a wide variety of abnormalities. Traditionally, this entity has been diagnosed by radiographic films, contrast series, or more accurately by computed tomography. However, reports describing findings of intestinal pneumatosis on sonographic examination, which is an important initial diagnostic tool for abdominal diseases, are limited. We suggest that twinkling artifact may be of value in the sonographic diagnosis of this condition. We report two cases of intestinal pneumatosis that were diagnosed initially by sonography with the aid of twinkling artifact.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Jamart J (1979) Pneumatosis cystoides intestinalis. A statistical study of 191 cases. Acta Hepatol Gastroenterol 26:419–422

    CAS  Google Scholar 

  2. Vernacchia FS, Jeffrey RB, Laing FC, Wing VW (1985) Sonographic recognition of pneumatosis intestinalis. AJR 145:51–52

    CAS  PubMed  Google Scholar 

  3. Hosomi N, Yoshida H, Kuroda C, et al. (1994) Pneumatosis cystoides intestinalis: CT findings. Abdom Imaging 19:137–139

    Article  CAS  PubMed  Google Scholar 

  4. Sato M, Ishida H, Konno K, Komatsuda T, et al. (1999) Sonography of pneumatosis cystoides intestinalis. Abdom Imaging 24:559–561

    Article  CAS  PubMed  Google Scholar 

  5. Sigel B, Machi J, Ramos JR, et al. (1985) Ultrasonic features of pneumatosis intestinalis. J Clin Ultrasound 13:675–678

    CAS  PubMed  Google Scholar 

  6. Kohzaki S, Hayashi K, Fukuda T, et al. (1994) Case report: the “aurora sign”—a new sonographic sign of pneumatosis cystoides intestinalis. Br J Radiol 67:1275–1277

    Article  CAS  PubMed  Google Scholar 

  7. Kernagis LY, Levine MS, Jacobs JE (2003) Pneumatosis intestinalis in patients with ischemia: correlation of CT findings with viability of the bowel. AJR 180:733–736

    PubMed  Google Scholar 

  8. Goske M, Goldblum JR, Applegate KE, et al. (1999) The ‘circle sign’: a new sonographic sign of pneumatosis intestinalis-clinical, pathological and experimental findings. Pediatr Radiol 29:530–535

    Article  CAS  PubMed  Google Scholar 

  9. Rahmouni A, Bargoin R, Herment A, et al. (1996) Color Doppler twinkling artifact in hyperechoic regions. Radiology 199:269–271

    CAS  PubMed  Google Scholar 

  10. Khan HG, Gailloud P, Martin JB, et al. (1999) Twinkling artifact on intracerebral color Doppler sonography. AJNR 20:246–247

    CAS  PubMed  Google Scholar 

  11. Trillaud H, Pariente JL, Rabie A, Grenier N (2001) Detection of encrusted indwelling ureteral stents using a twinkling artifact revealed on Color Doppler sonography. AJR 176:1446–1448

    CAS  PubMed  Google Scholar 

  12. Chelfouh N, Grenier N, Higueret D, et al. (1998) Characterization of urinary calculi: in vitro study of “twinkling artifact” revealed by color-flow sonography. AJR 171:1055–1060

    CAS  PubMed  Google Scholar 

  13. Ustymowicz A, Krejza J, Mariak Z (2002) Twinkling artifact in color Doppler imaging of the orbit. J Ultrasound Med 21:559–563

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Ö. Oktar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oktar, S.Ö., Yücel, C., Erbaş, G. et al. Use of twinkling artifact in sonographic detection of intestinal pneumatosis. Abdom Imaging 31, 293–296 (2006). https://doi.org/10.1007/s00261-005-0021-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-005-0021-5

Keywords

Navigation