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Forum :: Ultrasound cases - Sonograms, cine-loops etc. ::

Pneumatosis intestinalis, intussusception etc.




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Tags: Gastrointestinal sonography, Esaote MyLab 70, Images, Video, Clinical report, Pediatric

Moderator :
   User: admin
   Registered: 23-09-2013
   Posts: 899
   Name: Kolesnichenko Yuri
   Profession: MD, Sonologist
   City: Moscow, Russia
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  10:09 16-11-2013
  Pneumatosis intestinalis, intussusc...
#1
   User: admin
   Registered: 23-09-2013
   Posts: 899
   Name: Kolesnichenko Yuri
   Profession: MD, Sonologist
   City: Moscow, Russia

    Newborn with blood in feces and suspected necrotizing enterocolitis was addressed to ultrasound.

    At ultrasound visualized intestinal loops with hyperechoic dots in the projection of intestinal wall(possible air bubbles in intestinal wall produced by bacteria).

    Also you can see here the target sign - intestinal intussusception, transitory in that case.

    PS. Already during the analysis on the cine-loop in a calm environment(after work), I paid attention to another an/hypoechoic structure(file 5), which was intraluminal and was visible only due to contouring by hyperechoic point inclusions (air bubbles?), and judging by its movement did not allow to exclude the polyp.

    Similar lesion was presented in the another case - http://m.en.uzgraph.ru/forum/u...

    A notable moment of such structures(which fixed to the intestinal wall) is that they can be a "lead point" for intestinal intussusceptions.

   

Video from Youtube

:: attachments(5) ::

:: file 1 ::

:: file 2 ::

:: file 3 ::

:: file 4 ::

:: file 5 ::

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 Dictionary 
Aliasing doppler artifact

Color M-mode

TVUS

LN

DPD

Gain

PD

M-mode

Anatomical M-mode

CW

 
 
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