In order to determine the spectrum of possible sonographic abnormalities in tuberculous peritonitis (TBP), the sonograms of patients with proven disease were compared retrospectively with surgical or laparoscopic findings. The sensitivity of ultrasound for the detection of the various pathologic features of TBP was calculated. Free or loculated intraabdominal fluid, intraabdominal abscess, ileocecal mass, and retroperitoneal lymph node enlargement were most frequently detected by ultrasound. Mesenteric thickening, adherent loops of bowel, and omental thickening may also be seen, but are infrequently detected and should be actively sought in patients in whom the diagnosis is entertained.
A solitary hamartomatous polyp of the colon in a four year old boy was diagnosed by colonic sonography while barium enema and colonoscopy were non-diagnostic. Colonic sonography provides an additional simple, relatively non-invasive modality for evaluation of the colon.
The syndrome of inferior vena caval obstruction may result from a number of diverse causes (Missal et al, 1965; Siqueira-Filho et al, 1976), and the clinical presentation and course depend, with some exceptions, upon the aetiology and level of obstruction. Thrombosis within the inferior vena cava (IVC) is one of the more common causes and may be primary or secondary to abdominal infection, abdominal trauma or surgery, hypercoagulable states or extension from femoral or iliac thrombophlebitis.
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