2019 Volume 27 Issue 1 Pages 4-7
Background: Ultrasound has become increasingly important in the diagnosis of acute pathology of the abdominal cavity as an accessible, non-radiation-related method. In the present study, we evaluated the effectiveness of ultrasound diagnostics for cases of tumor with intestinal obstruction.
Methods: An ultrasound examination was performed in 41 patients (28 men and 13 women) between 26 and 78 years of age with intestinal obstruction who were treated at the surgical department of the hospital of Tashkent Medical Academy from 2014 to 2018. An ultrasound examination was performed without prior preparation using the ultrasonic devices Landwind Mirror 2 and SonoScape. Patients were examined in the supine position for their epi-, meso- and hypogastric areas and from the side of the abdomen for the frontal and oblique sections with compressing these sensor to the abdominal wall.
Results: All patients had chronic intestinal obstruction. The cause of the mechanical obstruction was a colonic tumor in 34 (83%) cases, tumor of the small intestine in 1 (2.5%) case and bowel torsion in 6 (14.5%) cases. The duration from the onset of the first clinical symptoms to the primary ultrasound examination ranged from 2 h to approximately 3 days. Ultrasound for evaluating the dynamics of acute intestinal obstruction allow for an accurate assessment of the state of the intestine, regardless of when the disease first manifested.
Conclusions: Repeated ultrasound studies of patients with colonic obstruction are more informative because the swelling of the colon was observed only in combination with evaluation of intestinal wall changes which is specific for the tumor.
