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10.14366/usg.14070

http://scihub22266oqcxt.onion/10.14366/usg.14070
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C4484283!4484283!25868731
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suck abstract from ncbi


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pmid25868731      Ultrasonography 2015 ; 34 (3): 211-6
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  • Ultrasonographic differentiation of bezoar from feces in small bowel obstruction #MMPMID25868731
  • Lee KH; Han HY; Kim HJ; Kim HK; Lee MS
  • Ultrasonography 2015[Jul]; 34 (3): 211-6 PMID25868731show ga
  • Purpose:: To evaluate ultrasonographic accuracy in the differentiation of a bezoar from feces in a small bowel obstruction showing feces-like material just proximal to the transitional zone in abdominal computed tomography (CT). Methods:: This study included 14 patients who showed feces-like material just proximal to the transitional zone, among 302 patients diagnosed with small bowel obstruction on abdominal CT. The diagnostic signs of a bezoar on ultrasonography included an arc-like surfaced intraluminal mass, posterior acoustic shadow and twinkling artifacts. The diagnostic performance of ultrasonography in each patient was compared with a final diagnosis that was surgically or clinically made. Results:: Among the 14 patients, seven were ultrasonographically diagnosed as having a bezoar, and five of the seven were surgically diagnosed as having a phytobezoar. The remaining two of the seven showed complete symptomatic improvement before surgery. The other seven patients were ultrasonographically diagnosed as not having a bezoar. Among them, six patients were conservatively treated with symptomatic improvement, suggesting the absence of a bezoar. The remaining one patient was confirmed not to have a bezoar during adhesiolysis. In all patients, the ultrasonographic diagnosis agreed with the clinically confirmed diagnosis. Conclusion:: Ultrasonography might be an accurate method for the differential diagnosis of feces-like material just proximal to the transitional zone in abdominal CT. It can help radiologists to quickly and easily diagnose a bezoar.
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