Detailed Information on Publication Record
2014
Colonic intussusteption in adults - role of ultrasound.
PETRÁŠOVÁ, Hana, Daniel BARTUŠEK and Markéta SMĚLÁBasic information
Original name
Colonic intussusteption in adults - role of ultrasound.
Name in Czech
Intususcepce tlustého střeva u dospělých - role ultrazvuku.
Authors
PETRÁŠOVÁ, Hana (703 Slovakia, guarantor, belonging to the institution), Daniel BARTUŠEK (203 Czech Republic) and Markéta SMĚLÁ (203 Czech Republic)
Edition
ESGAR 2014, 2014
Other information
Language
English
Type of outcome
Konferenční abstrakt
Field of Study
30000 3. Medical and Health Sciences
Country of publisher
Czech Republic
Confidentiality degree
není předmětem státního či obchodního tajemství
RIV identification code
RIV/00216224:14110/14:00076929
Organization unit
Faculty of Medicine
Keywords in English
colon intussusception ultrasound
Změněno: 27/1/2015 14:55, MUDr. Hana Petrášová, Ph.D.
Abstract
V originále
Learning objectives – To present cases of adult colonic intussusception diagnosed by ultrasound imaging (US), consequently confirmed by computed tomography (CT) and to correlate the imaging appearance with emergency surgery findings and histopathology diagnosis. Background – Intussusception in adults is rare, it occurs predominantly secondary to an underlying pathology. Majority of patients present with vague abdominal complaints (localized or diffuse abdominal pain, nausea, vomiting). Intussusception is not often considered clinically in the differential diagnosis. In our practice, patients usually undergo ultrasound as a first screening method. Imaging Findings or Procedure Details – Intussusception in 4 patients (in period of last two years) were diagnosed by ultrasound and confirmed on CT because of pathognomonic appearance. It appears as a sausage-shaped mass or as a target mass, composed of the outer intussuscipiens and the central intussusceptum. There is frequently an eccentric area of fat within the mass representing the mesenteric fat. Often visible is also mesenteric vasculature leading into the lesion, rarely mesenteric lymph nodes within. 100% of our intussusception cases were secondary to an underlying pathology, with 3 cases due neoplasm, 1 cases due to non-neoplastic processes. US and CT determination of the underlying aetiology is unreliable. En bloc resection using oncologic surgical principles remains the first line treatment due to the high likelihood of underlying malignancy. Conclusion- The diagnosis of colonic intussusception is nowadays most often made by the radiologist. Awareness of pathognomonic findings allows making the correct diagnosis also by ultrasound.
Links
| MUNI/A/1001/2013, interní kód MU |
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