Sonographic detection of visceral adhesion in percutaneous drainage of afferent-loop small-intestine obstruction.
To facilitate the percutaneous drainage of an afferent-loop small-intestine obstruction, we used sonography to detect visceral adhesions and select a safe puncture route. The portion of the small intestine that was fixed to the anterior abdominal wall was sonographically identified by using a high-frequency transducer to locate the area of restricted visceral sliding. The needle was then inserted into the intestine. In 3 cases, we have found that this technique improves the confidence of the physicians who perform the percutaneous drainage and may help to minimize the risks associated with the percutaneous drainage.
Kitamura
H
H
First Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-0802, Japan.
Miwa
S
S
Nakata
T
T
Nomura
K
K
Tanaka
T
T
Ikegami
T
T
Miyagawa
S
S
Kawasaki
S
S
D000343:Afferent Loop Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D000368:Aged; D002404:Catheterization; D006801:Humans; D007579:Jejunal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011859:Radiography; D013396:Suction / Q000379:methods*; D000267:Tissue Adhesions / Q000000981:diagnostic imaging; D014463:Ultrasonography