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DOI:10.2214/AJR.07.4004
AJR 2008; 191:1465-1468
© American Roentgen Ray Society


Clinical Observations

Small-Bowel Bezoar Versus Small-Bowel Feces: CT Evaluation

Eric Delabrousse1, Jean Lubrano2, Nicolas Sailley1, Sebastien Aubry1, Georges A. Mantion2 and Bruno A. Kastler1

1 Service de Radiologie A, CHU Jean Minjoz, 3 Bvd Fleming, 25030 Besançon, France.
2 Service de Chirurgie Digestive, CHU Jean Minjoz, Besançon, France.

OBJECTIVE. The objective of our study was to evaluate the accuracy of CT for differentiating small-bowel bezoar from small-bowel feces in cases of small-bowel obstruction (SBO).

CONCLUSION. In cases of SBO, although some CT features of bezoars and small-bowel feces overlap, a well-defined mass mottled with gas bubbles associated with an encapsulating wall, the newly described "floating fat-density debris" sign, and a lesion in the stomach that appears similar to the obstructing mass is typical of a small-bowel bezoar; an isolated amorphous mass mottled with gas bubbles is typical of small-bowel feces.

Keywords: bezoar • CT • small-bowel feces • small-bowel obstruction


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