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Diagnosis of Symptomatic Intestinal Metastases Using Transabdominal Sonography and Sonographically Guided Puncture

¹ Department of Radiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.
² Department of Radiology, University Hospital Balgrist, Forchstr. 340, 8008 Zürich, Switzerland.
³ Department of Internal Medicine, Karl Olga Krankenhaus, Schwarenbergstr. 7, 70190 Stuttgart, Germany.
⁴ Praxis Innere Medizin und Gastroenterologie, Parcusstr. 8, 55116 Mainz, Germany.
⁵ Department of Radiology, Kantonsspital Winterthur, Brauerstr. 15, 8400 Winterthur, Switzerland.

OBJECTIVE. We studied the sonographic findings of symptomatic intestinal metastases and the use and safety of subsequent sonographically guided 22-gauge fine-needle aspiration or 18-gauge core biopsy.

CONCLUSION. Symptomatic intestinal metastases can be diagnosed by transabdominal sonography. Extensive hypoechoic segmental bowel wall thickening with loss of stratification and intussusception can be observed. Sonographically guided fine-needle aspiration or 18-gauge core biopsy performed at the end of the examination allows definite diagnosis and is a safe procedure.

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