Innocuous Filling of the Intestinal Glands of the Colon During Barium Enema (Spiculation) Simulating Organic Disease

Dassel, Paul M.

doi:10.1148/78.5.799

Cited by 16 publications

(4 citation statements)

References 2 publications

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“…The gaseous distension of the colon often obliterates the haustral clefts in the left colon, but not those in the right which are more substantially formed. Occasionally the fine mucosal surface pattern, sometimes called the innominate grooves [13], will be shown (Fig. 3).…”

Section: Contrast Examinationsmentioning

confidence: 99%

Radiology in the current assessment of ulcerative colitis

Bartram

1976

Gastrointest Radiol

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Abstract. Plain abdominal radiography in acute ulcerative colitis is essential to detect acute colonic complications, such as acute dilatation and free perforation. Sealed perforations may not be detected. Useful information can be gained as to the extent and severity of the mucosal lesions, but can be unreliable so that a contrast examination is required. The double contrast barium enema is more accurate than the single contrast study in revealing the early mucosal lesions of colitis. It is the examination of choice to show the extent and severity of disease, and is of considerable value in the differential diagnosis of colitis. In active colitis, the unprepared double contrast barium enema is recommended. The success of the examination relies on the absence of fecal residue adjacent to an active mucosa. The technique, uses, and limitations of this type of examination are described.In the long-term management of colitis, the role of radiology is to show the presence of extensive disease, which indicates an increased risk of malignancy. Lesions such as strictures or polyps may be found and are more likely to be benign than malignant, but confirmation often requires endoscopic biopsy. In the search for malignancy regular barium enema examination is not recommended, as this can only reveal an overt tumor, whereas premalignancy can be detected histologically from an endoscopic biopsy.

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Section: Contrast Examinationsmentioning

confidence: 99%

Radiology in the current assessment of ulcerative colitis

Bartram

1976

Gastrointest Radiol

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“…Unlike fine serrations, these projections are of equal size, and are usually about one millimetre or less in depth. The sign was first described by Dassel (1962).…”

Section: Definition Of Termsmentioning

confidence: 99%

Radiological signs of ulcerative colitis: assessment of their reliability by means of observer variation studies.

Geffen¹,

Darnborough²,

Dombal³

et al. 1968

Gut

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“…Colonic perforation after barium enema can occur at any level from dentate line up to cecum and it can be complete entire thickness of colonic wall or incomplete with intact colonic serosa [3,4]. Incomplete dissection of barium can either fill intestinal glands, so called " peculation" which is of no clinical significance or penetrate intramural deposition that may be asymptomatic or develop pain and tenderness in minutes or hours later [5,6]. It is usually seen in a post evacuation film and has to be differentiated from true pathologic colitis [5].…”

mentioning

confidence: 99%

“…Incomplete dissection of barium can either fill intestinal glands, so called " peculation" which is of no clinical significance or penetrate intramural deposition that may be asymptomatic or develop pain and tenderness in minutes or hours later [5,6]. It is usually seen in a post evacuation film and has to be differentiated from true pathologic colitis [5]. If the barium is trapped in the submucosa and lamina propria and localized in the anastomotic site, it can cause fibrosis and anastomotic stricture [7].…”

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confidence: 99%

Barium granuloma in peritoneal cavity and right scrotal sac mimicking a germ cell tumor

2019

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Colonic perforation after barium enema is rare. We present a case of 6-month-old boy with palpable mass at left sided abdomen and right sided scrotum. Ultrasound and computed tomography (CT) showed calcified masses at Cul de sac and right scrotum with intraperitoneal fat infiltration mimicking germ cell tumor. Preexisting colonic wall injury or trauma and exposed to barium enema procedure can help to correct diagnosis and obviate unnecessary surgery.

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Innocuous Filling of the Intestinal Glands of the Colon During Barium Enema (Spiculation) Simulating Organic Disease

Cited by 16 publications

References 2 publications

Radiology in the current assessment of ulcerative colitis

Radiology in the current assessment of ulcerative colitis

Radiological signs of ulcerative colitis: assessment of their reliability by means of observer variation studies.

Barium granuloma in peritoneal cavity and right scrotal sac mimicking a germ cell tumor

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