Ultrasonographic Screening of Clinically-suspected Necrotizing Fasciitis

Abstract

Ultrasonography can provide accurate information for emergency physicians for the diagnosis of necrotizing fasciitis.

Progressive Increase of Bowel Wall Thickness Is a Reliable Indicator for Surgery in Patients With Adhesive Small Bowel Obstruction

“…First, the ultrasonographic beam cannot penetrate gas. 18 To overcome the interference of the gas effect, changing the patient's position from supine to the right or left lateral decubitus position during the ultrasonographic examination may provide additional ultrasonographic information. Second, the segment of the bowel loop checked 24 hours later is defined as only the three swollen bowel loops with the greatest wall thickness beneath the marked abdominal marked area, and the subsequent bowel loop that is measured might not be the initial swollen bowel loop.…”

“…[18][19][20][21][22][23][24] Nevertheless, the role of an abdominal ultrasonographic examination in adhesive SBO remains limited. In this study we tried to determine whether the ultrasonographic criterion of progressive increase of bowel wall thickness during nonoperative treatment is a reliable indicator for surgery for patients with adhesive SBO.…”

Fournier's Gangrene

“…[2] Ultrasound has demonstrated a sensitivity of 88.2% and a specificity of 93.3% for diagnosing clinically suspected necrotizing fasciitis and 100% sensitivity in the detection of soft tissue air in cadaveric studies. [3,4] With gas-forming organisms, there may be a loss of tissue planes from subcutaneous air. [5] CT and MRI are useful in diagnosing retroperitoneal and intraabdominal disease process.…”

Necrotizing fasciitis: Early sonographic diagnosis

“…The sonographic appearance of necrotizing fasciitis has rarely been reported in the literature [6][7][8]17 . The ultrasound findings suggesting necrotizing fasciitis included thickening of the deep 93,3% for ultrasonography in recognition of necrotizing fasciitis using the aforementioned criteria.…”

“…Computed tompgraphy (CT) and magnetic resonance imaging (MRI) are most frequently used diagnostic tools in patients with suspected necrotizing fasciitis 3,4 . Ultrasonography has rarely been used in the recognition of NF necrotizing fasciitis [5][6][7][8] .…”