Abstract:
PURPOSE:To evaluate the ability of fluoroscopic images obtained during air enemas to depict or exclude lead points of intussusceptions and other abnormalities that require surgical treatment in the absence of intussusception. MATERIALS AND METHODS:The clinical, radiologic, surgical, and pathologic findings were reviewed in 14 patients with lead points or other lesions. RESULTS:Fluoroscopic images failed to depict a lead point in 10 patients. The air enema easily reduced intussusceptions with benign lead points in seven patients. Fluoroscopic images depicted pathologic lead points in two patients and were normal in two patients with intussusception. Fluoroscopic images failed to depict an abnormality that required surgery in the absence of intussusception in two patients. CONCLUSION:Successful reduction of an intussusception does not always rule out a lead point. Other imaging studies, the patient's condition, and laparotomy may also be necessary to diagnose and treat lead points and other lesions.
journal_name
Radiologyjournal_title
Radiologyauthors
Miller SF,Landes AB,Dautenhahn LW,Pereira JK,Connolly BL,Babyn PS,Alton DJ,Daneman Adoi
10.1148/radiology.197.2.7480700subject
Has Abstractpub_date
1995-11-01 00:00:00pages
493-6issue
2eissn
0033-8419issn
1527-1315journal_volume
197pub_type
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