Images and text Genevieve Carbonatto. I would like to thank the IBUS group , in no particular order, Torsten Kucharzik, Christian Masser,Giovanni Maconi, Frauke Petersen, Kim Nylund, Ruediger Goertz, Emma Calbrese, Anil Kumar Asthana, Kerri Kovak, Rune Wilkens and Stefania Carmagnola for their fantastic course on gut ultrasound which has spurred the following post and Read more about Normal gut ultrasound[…]
Images Genevieve Carbonatto, text Genevieve Carbonatto An 80 year old lady presents to the Emergency Department with a 4 month history of feeling unwell on and off associated with a 4 kg weight loss during that time. She presented acutely because the night before she developed mild abdominal pain and vomiting. She has been investigated Read more about Intussusception: Left upper quadrant mass[…]
Images by Genevieve Carbonatto Target sign. Transverse view of the colon. Hypoechoic thickened wall. Colon wall thickening. Hypoechoic thickened wall with hyperechoic centre. Lack of peristalsis.
Images by Genevieve Carbonatto. Thickened wall of colon. Hypoechoic outer submucosa and central hyperechoic area. Target sign Transverse view :Thickened bowel wall. Hypoechoic submucosa. Longitudinal view : Thickened wall of colon. Again lack of peristasis, hypoechoic submucosa, centre hyperechoic
Images Genevieve Carbonatto Patient with Chrone’s disease- Bowel obstruction, dilated fluid filled bowel Dilated loops of bowel full of echogenic material. Extraluminal fluid. Absence of peristalsis Dilated small loops of bowel. To-and-fro or whirling motion of the bowel contents . See below
Images by Genevieve Carbonatto Grossly dilated loops of bowel Dilated loops of bowel. To and fro of contents of bowel. Extraluminal fluid (ascites)
Images by Genevieve Carbonatto Abdominal pain for 4 days. Suprapubic tenderness. Mild diarrhea. Thickened bowel wall, hypoechoic submucosa. In the short axis, there is an area of inflammed bowel suprapubically. This is the sigmoid colon. This structure was visible from the descending colon to the sigmoid colon. Note lack of peristalsis and thickened bowel wall. Read more about Sigmoid colitis[…]