Differential radiodiagnosis of large intestine stenoses with ileus symptoms
- Authors: Avdonin S.I.1, Mikhailov M.K.1
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Affiliations:
- Kazan State Medical Academy of Postgraduate Education
- Issue: Vol 76, No 6 (1995)
- Pages: 427-430
- Section: Theoretical and clinical medicine
- URL: https://ogarev-online.ru/kazanmedj/article/view/90433
- DOI: https://doi.org/10.17816/kazmj90433
- ID: 90433
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Abstract
It is shown that the use of radiopaque investigation methods with suspicion on ileus allows not only to determine the ileus level but also for the most part to solve the problems of etiologic and pathogenetic diagnoses in presurgical period and accodingly to perform surgical treatment of the disease before the development of the clinical picture of acute ileus more successfully.
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##article.viewOnOriginalSite##About the authors
S. I. Avdonin
Kazan State Medical Academy of Postgraduate Education
Author for correspondence.
Email: info@eco-vector.com
Department of Radiation Diagnostics
Russian Federation, KazanM. K. Mikhailov
Kazan State Medical Academy of Postgraduate Education
Email: info@eco-vector.com
Department of Radiation Diagnostics, Head - prof.
Russian Federation, KazanReferences
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Fig. 1. Radiographs of the right and left half of the large intestine in double contrast conditions of patient S., 52 years old, with a clinical picture of acute CI. Three zones of stenosis in the ascending, transverse and descending parts of the intestine (→ ←) Conical shape of "transition zones", symptom of "cobblestone pavement". Operation: bypass - anastomoses. Biopsy: Crohn's disease Fig. 2. X-ray of the intestine after oral administration of barium suspension of a patient K-, 43 years old, with a clinical picture of subacute CI. Multiple zones of stenosis, symptoms of dislocation (moving apart) of the loops of the small intestine and "soapy" foam. " During the operation, multiple tumors were revealed in the lumen of the small and large intestines. Biopsy: lymphosarcoma.
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Fig. 3. Radiograph of the rectum and sigmoid colon (barium enema) of a patient K-, 54 years old, with a clinical picture of slowly developing CI. Two zones of stenosis of the sigmoid colon, transverse restructuring of the relief of the mucous membrane (→ ←). During the operation, pericolitis, thickening of the walls of the sigma were revealed. A transverse ostomy was applied.
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Fig. 4. Fragment of an X-ray picture of the colon after retrograde contrasting of a patient K-, 45 years old. The clinical picture of subacute CN. Sharply delimited narrowing of the bowel lumen in the area of its left bend, step-like form of "transition zones" (→) Operation: left-sided hemicolectomy. Histological examination: colloid cancer.
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