2008 · AMERICAN JOURNAL OF ROENTGENOLOGY

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

Delabrousse, Eric, Lubrano, Jean, Sailley, Nicolas, Aubry, Sebastien, Mantion, Georges A., Kastler, Bruno A.

Journal
AMERICAN JOURNAL OF ROENTGENOLOGY
Année
2008
Volume
191
Numéro
5
Pages
1465-1468
Mois
NOV
DOI
10.2214/AJR.07.4004

Abstract

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.

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