engleski

Mechanical ileus diagnosed with transvaginal ultrasonography

The aim of this work is to present a rare case of mechanical ileus diagnosed with ultrasound and confirmed on radiology. Thirthy-six years old women underwent an operation because of an endometric cyst and left adnexectomy was done. Mechanical ileus occurred on the fifth postoperative day. A level of liquid in bowel was seen at radiology. At ultrasound we saw on left hemiabdomen distended bowel and a thin, wire-like hyperechogenic structure with no vascularization, thick about 5 mm. This structure was surrounded by the bowel. Laparotomy detected the bowel surrounded by a wire-like thin fibrinoid structure which was extended from uterus corn to the left pelvic wall and caused mechanical ileus. After release of this tissue the bowel was in normal condition and peristaltics was restored next day. It is possible to observe a localization of mechanical ileus with vaginal sonography.

transvaginal ultrasonography; ileus

Zbornik je tiskan u časopisu: Ultrasound in Obstetrics and Gynecology, 2000 ; 16(Suppl 1):74.