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  • Title: [Value of sonographic ileus diagnosis].
    Author: Meiser G, Meissner K.
    Journal: Chirurg; 1985 Jan; 56(1):46-9. PubMed ID: 3882358.
    Abstract:
    Patients in an early state of mechanical bowel obstruction, with unspecific clinical symptoms, negative laboratory findings and no evidence of ileus in plain abdominal X-ray, are a pitfall for diagnosis and therapeutic decisions. In a partly retrospective, partly prospective study 11% (n = 13) of ileus patients admitted to our hospital met these criteria of "early state" bowel obstruction. Using conventional methods of diagnosis, in 6% (n = 7) false negative diagnosis was obtained; 4% (n = 5) were primarily admitted to the internal medical department. In all these cases, abdominal sonography yielded a correct diagnosis by demonstrating specific criteria of bowel obstruction even at onset of disease. The correct diagnosis was uniformly confirmed by early operation.
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