European Journal of Radiology
Volume 50, Issue 1 , Pages 5-14 , April 2004

The relevance of free fluid between intestinal loops detected by sonography in the clinical assessment of small bowel obstruction in adults

  • Roberto Grassi

      Affiliations

    • Section of Radiology, Department “Magrassi-Lanzara”, Second University of Naples, 80138 Naples, Italy
    • ,
  • Stefania Romano

      Affiliations

    • Department of Radiology, “A. Cardarelli” Hospital, 80131 Naples, Italy
    • Corresponding Author InformationCorresponding author. Present address: Via G. Fava, 28 Parco La Piramide, 80016 Marano di Napoli, Italy. Tel.: +39-081-7426089; fax: +39-081-7426089; mobile: +39-3332760431.
    • ,
  • Fenesia D’Amario

      Affiliations

    • Section of Radiology, “S. Massimo” Hospital, 65018 Penne, Italy
    • ,
  • Antonio Giorgio Rossi

      Affiliations

    • Section of Radiology, “S. Massimo” Hospital, 65018 Penne, Italy
    • ,
  • Luigia Romano

      Affiliations

    • Department of Radiology, “A. Cardarelli” Hospital, 80131 Naples, Italy
    • ,
  • Fabio Pinto

      Affiliations

    • Department of Radiology, “A. Cardarelli” Hospital, 80131 Naples, Italy
    • ,
  • Roberto Di Mizio

      Affiliations

    • Section of Radiology, “S. Massimo” Hospital, 65018 Penne, Italy

Received 12 November 2003 ,Revised 19 November 2003 ,Accepted 27 November 2003.

References 

  1. Ko YT, Lim JH, Lee DH, Lee HW, Lim JW. Small bowel obstruction: sonographic evaluation. Radiology. 1993;188:649–653
  2. Laing FC. Ultrasonography of the acute abdomen. Radiol. Clin. North Am. 1992;30:389–404
  3. Meiser G, Meissner K. Sonographic differential diagnosis of intestinal obstruction: results of a prospective study of 48 patients. Ultraschall. 1985;6:39–45
  4. Di Mizio R, Grassi R, Marchese E, Basti E, Di Campli G, Catalano O, et al.  “Uncompensated” small bowel obstruction in adults. Ultrasonographic finding of free fluid between intestinal loops and its prognostic value. Radiol. Med. 1995;89:787–791
  5. Puylaert JB. Ultrasound of acute GI tract conditions. Eur. Radiol. 2001;11(10):1867–1877
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  7. Ogata M, Mateer JR, Condon RE. Prospective evaluation of abdominal sonography for the diagnosis of bowel obstruction. Ann. Surg. 1996;223(3):237–241
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  9. Maglinte DDT, Kelvin FM, Rowe MG, Bender GN, Rouch DM. Small bowel obstruction: optimizing radiologic investigation and nonsurgical treatment. Radiology. 2001;281(1):39–46
  10. Fanucci A, Alessi V, Cucchiara G. Acute abdomen. In: Proceedings of the XXXIII Congress SIRMN—Book of Lectures. Bologna: Monduzzi; 1988. p. 1151–64.
  11. Maglinte DDT, Reyes BL, Harmon BH, Kelvin FM, Turner WW, Hage JE. Reliability and role of plain abdominal radiography and CT in the diagnosis of small-bowel obstruction. AJR. 1996;167:1451–1455
  12. Marzoli G. Pathologic anatomy and clinics of the intestinal obstruction in adults. In: Radiology of the small bowel and colon. Verona: Libreria Cortina; 1976. p. 535–41.
  13. Frassineti A, Volpe E. Radiology of the simple or complicated intestinal obstruction from intestinal acute hernias. Reggio Emilia: Tecnograf; 1991.
  14. Di Mizio R, Merlini A. Abdominal plain film. In: Altaras AJ, editor. New atlas of small bowel and colon. Verona: Libreria Cortina; 1992. p. 365–94.
  15. Rob and Smith’s operative surgery. In: Todd E, editor. London: 1993. p. 213.
  16. Procter AE. Free intraperitoneal fluid in patients with intestinal obstruction without clinical or radiological evidence of perforation. Clin. Radiol. 1989;40:320–324
  17. Simeone JF, Novelline RA, Ferrucci JT, De Luca SA, McCabe CJ, Mueller PR, et al.  Comparison of sonography and plain films in evaluation of the acute abdomen. AJR. 1985;144:49–52
  18. Mac Farlane DA, Thomas LP, Textbook of surgery. Edinburgh: Churchill-Livingstone; 1984. p. 181.
  19. Swischuck LE, Stansberry SD. Ultrasonographic detection of free peritoneal fluid in uncomplicated intussusception. Pediatr Radiol. 1991;21:350–351
  20. Feinstein KA, Myers M, Fernbach SK, Bhisitkul DM. Peritoneal fluid in children with intussusception: its sonographic detection and relationship to successful reduction. Abdom Imag. 1993;18:277–279

PII: S0720-048X(03)00348-6

doi: 10.1016/j.ejrad.2003.11.009

European Journal of Radiology
Volume 50, Issue 1 , Pages 5-14 , April 2004

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