Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Diagnostična vrednost ultrazvoka v ileocekalni regiji = Value of ultrasound in diagnosis of diseases in ileocecal region
    Sedonja, Irena
    Background. Frequent clinical diagnosis of diseases in ileocecal region is inconclusive and increases with age. Graded compression ultrasonography (US) improves diagnostic accuracy of acute ... appendicitis but it may be more difficult to carry out in adult patients and other diseases are more frequently in them. The author's own experience in sonography of the ileocecalregion is presented in this study. Methods. 44 patients (15 m., 29 f., 11-76 y., mean 34.4 y.) with acute right lower abdominal pain (37) or withpersistent pain after abdominal surgery (7) in the period from January 2000 to November 2002 were included in this study. Graded compression with convex 3.5 MHz and with linear 7.5 MHz probe on grayscale and Color Doppler sonography was performed. The results of US were correlated with operative findings (all appendicitisses, abscesses, mesenterial pseudocyst and malignancies) or with follow up (other). Results. In 11/12 (91.7%) of patientswith later surgically proved appendicitis, US diagnosed it (6 without /5 with signs of perforation and abscess). In two patients it was false positive, but in one of them operation was justified because of other pathology. In 14/37 (37.8%) of patients with indeterminate right lower abdominal pain, US diagnosed it (10) or proved (4) some other diseases such asCrohn's disease (3) mesentericlymphadenitis(2), infectious ileocecitis (3), ovarian tumour (1), adnexitis (1), myoma in the right part of the uterus (1) and cecal cancer (3). In 10/37 (27%) of patients a disease in ileocecal regionwas excluded. US falsely diagnosed appendicitis in o ne of these patients. In 4/7 of operated patients abscesses were found while in others abdominal wall seroma (1), Crohn's disease (1) and adnexitis (1). Diagnostic value of US in ileocecal region: sensitivity - 0.97, specificity - 0.90. (Abstract truncated at 2000 characters)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, št. 5, maj 2003, str. 297-300)
    Vrsta gradiva - članek, sestavni del
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16252889

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    Digitalna knjižnica Slovenije - dLib.si

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