Hungarian Radiology

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

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

JUNE 20, 2003

Hungarian Radiology - 2003;77(03)

[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.]



Further articles in this publication

Hungarian Radiology

[Board Meeting of the Society of Hungarian Radiologists Budapest, 26 May 2003]

NAGY Gyöngyi

Hungarian Radiology

[Health Insurance and Funding from a Medical Perspective]


Hungarian Radiology

[Entry for Artists]


Hungarian Radiology

[The Society of Hungarian Radiologists Held a General Assembly in June]

Hungarian Radiology

[Atypical Cyst or Something Else?]

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

All articles in the issue

Related contents

Hungarian Radiology

[Use of plain and intravenous contrast material multidetector CT examinations in acute abdomen]


[Through most of Europe, multidetector computed tomography is used as the first-line modalitiy for examining the acute abdomen. Acute abdominal pain, symptoms referring to abnormal bowel movements, gastrointestinal bleeding, worsening general state, and other typical clinical signs require quick and precise diagnosis since these conditions are frequently life-threatening. The sensitivity and specificity of CT examinations have significantly improved due to the development of the machinary. Thus, the scope of indications are also expanding. Almost all acute abdominal disorders, that may lead to an acute surgical procedure, can be diagnosed with the help of multidetector CT. Unnecessary surgical procedures, the risk to the patients and also the cost of hospitalization can be reduced using multidetector CT examination.]

Hungarian Radiology

[Radiologic diagnosis of the diseases of the pediatric gynecology]

LÓRÁND Ágnes, HARKÁNYI Zoltán, LOVAS Györgyi, HÉJJ Ildikó

[The basic examination of the pediatric pelvic organs is the transabdominal ultrasound which provides useful information about the anatomy and the pathological changes and in the vast majority of cases it is sufficient for treatment planning and to establish the diagnosis. Additional examinations are needed in case of complex developmental anomalies, in suspition of tumor, in staging and follow up examinations of tumors. Among the modern imaging methods the use of CT and MRI can be considered. The authors described the most frequent diseases in their practice and gave a brief overview on anatomical and physiological basics which is necessary for the exact interpretation of the examinations.]

Clinical Neuroscience

[What happens to vertiginous population after emission from the Emergency Department?]

MAIHOUB Stefani, MOLNÁR András, CSIKÓS András, KANIZSAI Péter, TAMÁS László, SZIRMAI Ágnes

[Background – Dizziness is one of the most frequent complaints when a patient is searching for medical care and resolution. This can be a problematic presentation in the emergency department, both from a diagnostic and a management standpoint. Purpose – The aim of our study is to clarify what happens to patients after leaving the emergency department. Methods – 879 patients were examined at the Semmel­weis University Emergency Department with vertigo and dizziness. We sent a questionnaire to these patients and we had 308 completed papers back (110 male, 198 female patients, mean age 61.8 ± 12.31 SD), which we further analyzed. Results – Based on the emergency department diagnosis we had the following results: central vestibular lesion (n = 71), dizziness or giddiness (n = 64) and BPPV (n = 51) were among the most frequent diagnosis. Clarification of the final post-examination diagnosis took several days (28.8%), and weeks (24.2%). It was also noticed that 24.02% of this population never received a proper diagnosis. Among the population only 80 patients (25.8%) got proper diagnosis of their complaints, which was supported by qualitative statistical analysis (Cohen Kappa test) result (κ = 0.560). Discussion – The correlation between our emergency department diagnosis and final diagnosis given to patients is low, a phenomenon that is also observable in other countries. Therefore, patient follow-up is an important issue, including the importance of neurotology and possibly neurological examination. Conclusion – Emergency diagnosis of vertigo is a great challenge, but despite of difficulties the targeted and quick case history and exact examination can evaluate the central or peripheral cause of the balance disorder. Therefore, to prevent declination of the quality of life the importance of further investigation is high.]