Hungarian Radiology - 2003;77(03)

Hungarian Radiology

JUNE 20, 2003

Hungarian Radiology

JUNE 20, 2003

[Role of ultrasound in the diagnosis of Crohn’s disease]

KUKLA Edit, BEVÍZ József, MAKULA Éva, PALKÓ András, VÁRKONYI Ágnes, FÜZESI Kristóf

[INTRODUCTION - The peak incidence of Crohn’s disease is the second and third decades of life. Twenty-five percent of new cases occur in individuals less than 20 years of age. Typically the clinical presentation of Crohn’s disease is not different in children from in adults. The sudden onset of the disease with serious symptoms is not rare in pediatric patients The signs of acute abdomen, the rapid deterioration of the patient's physical condition needs urgent surgical intervention. Ultrasound is the first imaging method of choice can reveal specific signs of the disease and early accurate diagnosis can be established. The radiation burden can be decreased on this way and the unnecessary surgical intervention can be avoided. CASE REPORT - A child who presented typical signs of acute appendicitis was investigated first by ultrasound. Based on this investigation the diagnosis of Crohn’s disease was suspected, but unfortunately the adequate diagnosis was established only 5 months later after appendectomy and right sided hemicolectomy. CONCLUSION - Authors draw the attention to the importance of the ultrasound investigation in the diagnosis of Crohn’s disease in the childhood.]

Hungarian Radiology

JUNE 20, 2003

[The diagnostics of paraoesophageal hiatal hernia]

TREXLER Ilona

[INTRODUCTION - The hiatal hernia is among the most common abnormalities of the gastrointestinal tract. The position of the cardia in relation to the diaphragm determines the type of the hernia, wich is important in therapy planning. The type I. sliding hernia is the most common form. Only 5-10% is type II. paraesophageal and type III. mixed hernias, which may involve serious complication. The single contrast X-ray is the best method for demonstrating the type of hiatal hernias. PATIENTS, METHODS AND RESULTS - During a 3 year period the author was investigated 336 gastric cases. Hiatal hernia was found in 73 patients, six of the cases proved to be the rare II. and III. types. A case of paraoesophageal and five mixed type cases of hernia is briefly described. CONCLUSION - Despite of the wide spread use of endoscopy in diagnosis of hiatal hernia, the traditional gastric X-ray still remains an important diagnostic tool.]

Hungarian Radiology

JUNE 20, 2003

[Atypical Cyst or Something Else?]

KÁLMÁN Gabriella, BOGDÁN László, FOK Éva, BOGNER Barna, DÉNES László

Hungarian Radiology

JUNE 20, 2003