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KMID : 0386119930290061325
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Journal of the Korean Radiological Society
1993 Volume.29 No. 6 p.1325 ~ p.1330
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Comparative Study of Radiologic Findings in Reduced and Nonreduced Intussusception by Barium Enema
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이소현
박찬섭/조순구/옥철수/서창해/김미영/정원균/서정수/정은철
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Abstract
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One hundred and eighty one cases, which comfirmed tobe intussusception, were reviewed retrospectively to identify the differences between radiologic findings of reduced and nonreduced intussusceptions by barium enema. The number of cases of
reduced
intussusception was 148 and nonreduced was 33, so the rate of reduction was 82%. On conventional radiographs, air-fluid levels were seen in 23 cases(15.5%) of the reduced intussusception and in 18 cases(54.6%) of the nonreduced intussusception,
and
soft
tissue masses were seen in 20 cases(13.5%) of the reduced intussusception and in 2 cases(36.4%) of the nonreduced intussusception. The mean value of a ratio of maximal diameter of small bowel to interpedicular distance of L3vertebral body was
0.93
in
the reduced intussusception and 1.25 in the nonreduced intussusception.
On barium enema, the dissection sign was seen in 33.1% of the reduced intussusception and in 75.8% of the nonreduced intussusception. The morphologic abnormalities of ascending colon were seen in 11.5% of the reduced intussusception and in 38.7%
of
the
nonreduced intussusception.
So, the findings of the air-fluid level soft tissue mass, marked small bowel dilatation, dissection sign and morphologic abnormality of ascending colon were more frequently seen in the nonreduced intussusception than the reduced cases. There was
no
correlation between the location of intussusceptum and the reduction rate.
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KEYWORD
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