HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ripollés, T. Articles by Gil, P. Search for Related Content PubMed PubMed Citation Articles by Ripollés, T. Articles by Gil, P. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Gastrointestinal Bezoars

Sonographic and CT Characteristics

¹ Department of Radiology, University Hospital Dr. Peset, 90 Gaspar Aguilar Ave., 46017, Valencia, Spain.
² Department of Radiology, Sagunto Hospital, 46017, Valencia, Spain.

OBJECTIVE. The purpose of this study was to assess the value of imaging studies—conventional abdominal radiographs, sonography, and CT—in the diagnosis of gastrointestinal bezoars.

METHODS AND METHODS. A review was made of the radiologic findings of 17 consecutive patients with surgically verified gastrointestinal bezoars over a period of 51 months.

RESULTS. Twelve patients had a history of previous gastric surgery. In no patient was a bezoar clinically suspected. Phytobezoars were recorded in 16 patients and a trichobezoar in only one. A total of 33 bezoars were identified at surgery. Two patients had isolated gastric bezoars, whereas 15 patients had bezoars located in the small bowel. Among the latter group, associated gastric bezoars were found in eight patients, and five patients had multiple intestinal bezoars. Abdominal radiographs revealed bezoars in three patients, sonography revealed bezoars in 15, and CT revealed bezoars in all 17. Seven patients had associated gastric bezoars revealed at CT versus only two patients with gastric bezoars revealed at sonography. CT revealed multiple intestinal bezoars in five patients whereas sonography revealed them in only two patients.

CONCLUSION. Both sonography and CT are reliable methods for diagnosing gastrointestinal bezoars. CT is more accurate, however, and exhibits a quite characteristic bezoar image; in addition, this imaging technique is able to reveal the presence of additional gastrointestinal bezoars.

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A N HEWITT, M S LEVINE, S E RUBESIN, and I LAUFER Gastric bezoars: reassessment of clinical and radiographic findings in 19 patients Br. J. Radiol., November 1, 2009; 82(983): 901 - 907. [Abstract] [Full Text] [PDF]

				S-J Lee, S-J Chu, and S-H Tsai Colonic phytobezoar BMJ Case Reports, January 8, 2009; 2009(jan08_1): bcr2006039412 - bcr2006039412. [Full Text]

				S-J Lee, S-J Chu, and S-H Tsai Colonic phytobezoar Emerg. Med. J., July 1, 2007; 24(7): 518 - 518. [Full Text] [PDF]

				A. S. Frey, M. McKee, R. A. King, and A. Martin Hair Apparent: Rapunzel Syndrome Am J Psychiatry, February 1, 2005; 162(2): 242 - 248. [Full Text] [PDF]

				J. M. Lee, S. E. Jung, and K.-Y. Lee Small-Bowel Obstruction Caused by Phytobezoar: MR Imaging Findings Am. J. Roentgenol., August 1, 2002; 179(2): 538 - 539. [Full Text] [PDF]