T. Ipek et al., CLOSED PERFORATION OF THE SMALL-INTESTINE SHOWING CONTINUITY AND THE DIAGNOSTIC ROLE OF ENTEROCLYSIS, Hepato-gastroenterology, 44(13), 1997, pp. 161-163
Background: Conventional abdominal CT and Ultrasonography were not ade
quate for the immediate assessment of a closed perforation of the smal
l intes tine showing continuity. For definitive diagnosis of the main
pathology, we advise enteroclysis. Methods: All patients had non-traum
atic small bowel perforation. and had many diagnostic procedures inclu
ding conventional abdominal CT and ultrasonography, but did not get a
positive result from them. Following the enteroclysis, it was obvious
that there existed a closed smalt bowel perforation with continuity. R
esults: The first patient had fistula and interloop pouch filled with
contrast in pelvis minor and perforations in. small intestine and cecu
m. The second patient had closed perforation showing continuity in. th
e level of ileum and the third patient had a pouch showing continuity
in the ileum and a fistula in ileum. All patients had operation; the f
irst one had a Crohn's disease and discharged postoperatively on. 16th
day, but the second one having ileal tumor was Lost postoperatively d
ue to pulmonary embolism and the third one having Non-Hodgkin Lymphoma
was Lost postoperatively due to sepsis. Conclusion: Conventional tech
niques were not sufficient to classify the main. pathology in these ca
ses, but enteroclysis revealed good results in diagnosis of the main.
event, and does not cause a delay in diagnosis.