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Bowel evaluation on routine Abdominal ultrasound.
Hello everyone,
With the quality of images with the present day ultrasound machines, really good visualisation of the bowel loops is possible.
I generally have a habit of evaluating the small bowel (duodenum, jejunum , ileum. terminal ileum, ileo-caecal junction), and the entire colon, in all routine abdominal scans, (generally with the sector probe itself) - throughout my residency training, and in my present practice.
I wonder, to what extent sonologists in different parts of the world, interrogate these specific intestinal segments on routine abdominal scans, and document them.
And further ahead, we could discuss findings that we commonly encounter in the process, (apart from specific pathologies ) to which we cannot ascribe definite explanations, but at the same time, suspect to be connected to the patient symptoms.
Views: 152
Replies to This Discussion
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Permalink Reply by dr.basil shamma on -
i ask whether the appendix could be seen well always i try to see it but i cant it is said that more than 20% normal appendix could be seen if u see it please send images about thanks
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Permalink Reply by Abhishek Pachchigar on -
Appendix is generally traceable in thin adults, in my experience.
In most cases, If the ileo-caecal junction is visualised easily, appendix is likely to be traced with less effort.
However, i dont think there is any benefit in trying to document appendix in unrelated cases. In most cases with appendicitis, there will be evidence of inflammation in the right iliac fossa. Searching for appendix in such cases, will only bear some fruit.
dr.basil shamma said:
i ask whether the appendix could be seen well always i try to see it but i cant it is said that more than 20% normal appendix could be seen if u see it please send images about thanks
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Permalink Reply by dr.basil shamma on
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thanks can you display some images of acute appendicitis you scan them personaly if possible thank you again for reply
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Permalink Reply by Syed Amir Gilani on -
i think if we use high frequency transducer,using different recommended techniques ,like looking for ileo-caecal junction,differentiating between terminal ileum and appendix,modality,continuity etc.obviously body habitus is very important.
machine and frequency do matter,we can bring dr basil's 20% to 50%.
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Permalink Reply by DR.NANDHINIKUMARI BASKAR on -
Can you tell me ways to differentiate meckel's diverticulitis and Inflammed appendix?
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