Contrast enema findings of fibrosing colonopathy.
OBJECTIVE
Our objective was to describe characteristic contrast enema findings of fibrosing colonopathy.


METHODS
We performed barium enemas on 18 children with cystic fibrosis who had received greater than 4500 U of lipase per kg body weight per meal and who had distal intestinal obstruction syndrome unresponsive to medical management.


RESULTS
Fifteen patients had abnormal enema results. The most common findings included stricture, loss of haustra, and colonic shortening. Ten patients required surgery, nine underwent colon resection, and one had lysis of adhesions. Pathologists confirmed fibrosing colonopathy in eight of nine speci- mens.


CONCLUSIONS
Colonic stricture, abnormal haustra, and longitudinal shortening are characteristic barium enema findings of fibrosing colonopathy.
Crisci
K L
KL
Department of Radiology, St. Christopher's Hospital for Children, Philadelphia, PA 19134, USA.
Greenberg
S B
SB
Wolfson
B J
BJ
Geller
E
E
Vinocur
C D
CD
D001466:Barium Sulfate; D002675:Child, Preschool; D003108:Colonic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D003287:Contrast Media; D003550:Cystic Fibrosis / Q000150:complications* / Q000188:drug therapy; D004733:Enema; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D008049:Lipase / Q000627:therapeutic use; D008297:Male; D011859:Radiography
D003287:Contrast Media; D001466:Barium Sulfate; D008049:Lipase