Hirschsprung's disease other imaging findings: Difference between revisions
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==Overview== | ==Overview== | ||
A [[barium enema]] is the mainstay of diagnosis of Hirschsprung’s disease. Barium enema findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone is the most characteristic radiologic finding. | A [[barium enema]] is the mainstay of diagnosis of Hirschsprung’s disease. Barium enema findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone is the most characteristic radiologic finding.<ref name="pmid24002048">{{cite journal |vauthors=Burkardt DD, Graham JM, Short SS, Frykman PK |title=Advances in Hirschsprung disease genetics and treatment strategies: an update for the primary care pediatrician |journal=Clin Pediatr (Phila) |volume=53 |issue=1 |pages=71–81 |year=2014 |pmid=24002048 |doi=10.1177/0009922813500846 |url=}}</ref> | ||
==Other Imaging Findings== | ==Other Imaging Findings== |
Revision as of 16:37, 16 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
A barium enema is the mainstay of diagnosis of Hirschsprung’s disease. Barium enema findings suggestive of Hirschsprung's disease include a transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone is the most characteristic radiologic finding.[1]
Other Imaging Findings
Barium Enema
Barium enema findings suggestive of Hirschsprung's disease include:
- Barium enema studies demonstrate patency of the colon, which is short but usually normal in caliber.
- A transition zone between the narrow and dilated portions of the colon in the shape of an inverted cone is the most characteristic radiologic finding.
- When this transition zone is observed, the examination should be discontinued because filling of the more proximal dilated bowel beyond the transition zone may lead to impaction.
- The radiologic diagnosis of total colonic aganglionosis is difficult. Findings at barium enema examination may be normal or may include a short colon of normal caliber, microcolon, or a transition zone in the ileum.
References
- ↑ Burkardt DD, Graham JM, Short SS, Frykman PK (2014). "Advances in Hirschsprung disease genetics and treatment strategies: an update for the primary care pediatrician". Clin Pediatr (Phila). 53 (1): 71–81. doi:10.1177/0009922813500846. PMID 24002048.