| Bowel wall thickening in children: differentiation with US. | |
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MedLine Citation:
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PMID: 9169680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine whether vascular, ischemic, and inflammatory causes of bowel wall thickening in children can be differentiated at gray-scale and color Doppler ultrasonography (US). MATERIALS AND METHODS: Thirty-seven children with acute bowel disease underwent graded compression US. Findings of bowel wall thickness, wall echotexture, location of bowel involvement, and presence of color Doppler flow were evaluated. Diagnoses were classified as inflammation (n = 25), vasculitis (n = 7), or ischemia (n = 5) and were confirmed with findings from colonoscopy and biopsy, stool culture analysis, surgery, and cutaneous biopsy, and with a combination of clinical and laboratory data. RESULTS: Patient age (P = .0022), bowel wall thickness (P = .0001), and color Doppler flow (P = .0013) were statistically significantly related to disease type. Wall thickening and absence of visible color Doppler flow suggested ischemia. Older patient age and visible color Doppler flow suggested inflammation, whereas younger patient age and visible color flow suggested vasculitis. Difference in location of bowel disease in patients with ischemic versus those with vascular wall thickening was statistically significant (P = .0185). No difference was found between disease type and wall stratification. CONCLUSION: Gray-scale and color Doppler flow US can aid in differentiating ischemic, vascular, and inflammatory bowel wall thickening. |
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Authors:
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M J Siegel; J A Friedland; C F Hildebolt |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 203 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1997 Jun |
Date Detail:
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Created Date: 1997-06-24 Completed Date: 1997-06-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 631-5 Citation Subset: AIM; IM |
Affiliation:
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Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Age Factors Biopsy Child Child, Preschool Colitis / ultrasonography Colonoscopy Crohn Disease / ultrasonography Diagnosis, Differential Enterocolitis, Pseudomembranous / ultrasonography Feces / microbiology Female Follow-Up Studies Humans Infant Inflammatory Bowel Diseases / pathology, surgery, ultrasonography Intestinal Diseases / pathology, surgery, ultrasonography* Intestinal Mucosa / blood supply, pathology, surgery, ultrasonography* Ischemia / pathology, surgery, ultrasonography Male Neutropenia / ultrasonography Retrospective Studies Single-Blind Method Ultrasonography, Doppler, Color Vasculitis / pathology, surgery, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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