| Diagnosing enteroceles using dynamic magnetic resonance imaging. | |
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MedLine Citation:
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PMID: 10696895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Enteroceles are in part difficult to detect but a frequent finding in pelvic floor disorders. The aim of this study was to evaluate magnetic resonance colpocystorectography in the diagnosis of enteroceles. METHODS: In this prospective study 11 volunteers and 55 patients with pelvic floor descent were examined. In addition to magnetic resonance colpocystorectography, a dynamic cystoproctography was performed on 34 patients. Opacification of organs was used. An enterocele was assessed in relationship to the pubococcygeal reference line (magnetic resonance colpocystorectography) or the width of the rectovaginal space (dynamic cystoproctography). A clinical gynecologic examination served as reference. RESULTS: The clinical examination diagnosed an enterocele in 43, magnetic resonance colpocystorectography in 49, and dynamic cystoproctography in 14 cases. Magnetic resonance colpocystorectography further subdivided the enteroceles according to their contents (mesenteric fat or fluid, 12; small bowel, 32, large bowel, 3; and rectosigmoidocele, 2). Magnetic resonance colpocystorectography proved statistically significantly superior to dynamic cystoproctography (15 cases) and the reference. Sensitivity and specificity of magnetic resonance colpocystorectography were 100 percent each. It was able to reveal clinically missed enteroceles as being peritoneoceles associated with a rectocele or a uterovaginal prolapse (10 cases). CONCLUSION: Magnetic resonance colpocystorectography is a promising method for diagnosis of enteroceles, because hernial canal, sac, and contents are reliably identified. |
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Authors:
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A Lienemann; C Anthuber; A Baron; M Reiser |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 43 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2000 Feb |
Date Detail:
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Created Date: 2000-03-13 Completed Date: 2000-03-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 205-12; discussion 212-3 Citation Subset: IM |
Affiliation:
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Department of Radiology, Klinikum Grosshadern, Ludwig Maximillians University Munich, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Diagnosis, Differential Female Hernia / classification, diagnosis* Humans Magnetic Resonance Imaging* / methods Middle Aged Prospective Studies Rectum / pathology* Reproducibility of Results Sensitivity and Specificity Urinary Bladder / pathology* Vagina / pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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