Log in    RU  
 
 
 
  
  
  
  
 
 
 
 
 
 
               
 
 
Main page :: Forum :: Ultrasound cases - Sonograms, cine-loops etc. ::

Hollow organ lesion sign, "Lost in Translation"





Tags: Abdomen sonography, Gastrointestinal sonography, Esaote MyLab 70, Clinical report, Pediatric

   Posts
 
  Hollow organ lesion sign, ...
#1

    An infant came to the ED of Children City Hospital with suspicion of intussusception, has an ultrasound scan at other health care facilities, according to the results of which intussusception was suspected, however, in the ultrasound scan paper that the parents brought with them, there was no mention of the target sign, if my memory serves me, there was described a part of the intestine with a thickened wall in the right iliac region with the following conclusion - a spasmodic bowel loop (intussusception?).

    On ultrasound, a part of the intestine without peristalsis and with a thickened wall was visualized in the right ileal region, but it did not look like intussusception, but rather an inflammatory process (?), I described this picture as an HOLS (Hollow Organ Lesion Sign) type of the pseudokidney sign ... I personally explained everything verbally to the surgeon, who turned out to be unfamiliar with the HOLS (It's russian term which include target sign, pseudokidney sign, etc) abbreviation, including about the uncharacteristic nature of this ultrasound symptom (pseudokidney) for intussusceptions, as it later turned out that the abbreviation HOLS, like the expanded version of the term, is unknown not only to clinicians, but and ultrasound specialists.

    Coming back to the case, despite my explanations, the surgeon still translate my record as a sign of intussusception! After the procedure of air expansion of the intussusception supposed by the clinicians, a follow-up ultrasound was prescribed, and everything remained the same on the ultrasound.

    The next day, the child underwent another follow-up ultrasound scan by another doctor, where an opinion was expressed about the probable infectious process and the absence of signs of intussusception. Which was told me in a critical style, something like this - "there is no intussusception about which you wrote" - although I did not write about it, I wrote HOLS. It is good that the 4th volume of the 1997 edition of V.V. Mitkov's ultrasound manual accidentally turned out to be at hand, in which, to the surprise of the critically minded ultrasound specialists, HOLS was described as I told.

    PS. Although in the end of video you can see an area of the intestine that can be called a mushroom sign, and it can correspond to both intussusception in the ileocecal region and ileotiflitis ...

   




   




   




   


 Random 
Ultrasound cases - Thickening of the stomach wall
    

Ultrasound cases - Cholelithiasis plus 2
    

Ultrasound cases - Polyp of the gallbladder
    

Ultrasound cases - Lesion of the spleen or the case when it is easy to not notice
    

Ultrasound cases - Atypical axillary LNs
    

 Ad 


 Dictionary 
PASP

LVESV

Qp-Qs

LAP

TVUS

PG

PVR

HR

FVI

GA

 
 
 Calculators 
Resistive index

Pressure gradient

Pulmonary artery pressure

Game: Sonographer certification

Type of an infant hip joint


 Similar topics 
Ultrasound cases - Hirschsprung disease on ultrasound
    

Ultrasound cases - Abdominal cryptorchidism
    

Ultrasound cases - Neonatal testicular torsion
    

Ultrasound cases - Penetrating injury of the femur
    

Ultrasound cases - Cephalohematoma
    

Ultrasound cases - Urachus fistula
    

Ultrasound cases - Autosomal recessive polycystic kidney disease (ARPKD)
    

Ultrasound cases - Subhepatic appendicitis and omentitis
    

Ultrasound cases - Diffuse heterogeneous liver
    

Ultrasound cases - Cranial mass