Volume : IX, Issue : VIII, August - 2019

Radiological Evaluation of Colonic Masses by Ultrasonography and Barium Enema

Dr. Amol Bitey, Dr. Shobhana Bitey

Abstract :

Aim and Objective: In present study large bowel masses including intussusception were evaluated by radiological procedures with main emphasis on ultrasound as the screening modality and double contrast barium enema as confirmatory investigation. Method: Total 73 cases (all ages and both sexes) referred from all outpatient departments with colonic symptoms and in whom barium enema was advised and bowel mass were accidentally detected during USG abdomen for some other indication was included in the study. Patients satisfying the inclusion criteria underwent USG followed by Barium enema. Result: Total number of cases evaluated by barium enema was 73 and positive cases were 32. Abdominal pain (46.87%) was the most common presenting complaint. 50% of lesions were neoplastic, 40.60% inflammatory, 6.25% intussusception and 3.12% intussusception with colonic carcinoma. 15 out of 16 neoplastic cases and all the inflammatory (13 cases) cases showed pseudokidney sign. All 3 cases of intussusception had USG findings. Narrowing, deformity and shortening of the involved segment was the predominant finding on barium enema in inflammatory masses while in neoplastic lesions, lumen reduction, mucosal irregularity and shouldering in barium enema were highly suggestive of malignancy. At barium enema meniscus sign and spring coil appearance was pathognomic of intussusceptions. The sensitivity and specificity of ultrasound to detect colonic masses was 96.87% and 97.56% respectively. Conclusion: Ultrasound is reasonably sensitive and highly specific for detection and location of bowel masses and also it is superior screening procedure to characterize colonic masses into inflammatory, neoplastic and intussusceptions groups. Barium enema is a better confirmatory method for evaluating colonic masses.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

RADIOLOGICAL EVALUATION OF COLONIC MASSES BY ULTRASONOGRAPHY AND BARIUM ENEMA, Dr. Amol Bitey, Dr. Shobhana Bitey INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-8 | August-2019

Number of Downloads : 149

References :