Key Points
Among the various causes of bowel obstruction, adhesions are most likely to be found and can be a disastrous alliance. The first-line modality in an acute emergency with pending ileus is CT. Nevertheless, MRI can provide superior information. Besides the classical signs of obstruction with distended bowel loops and transition points, its potential to detect visceral slide using functional cine MRI has been proven.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abiri S, Baer J, Abiri M (1986) Computed tomography and sonography in small bowel intussusception: a case report. Am J Gastroenterol 81:1076–1077
Ahlberg G, Bergdahl S, Rutqvist J, et al (1997) Mechanical small-bowel obstruction after conventional appendectomy in children. Eur J Pediatr Surg 7:13–15
Balthazar EJ (1976) Intestinal malrotation in adults. AJR Am J Roentgenol 126:358–367
Balthazar EJ (1994) CT of small-bowel obstruction. AJR Am J Roentgenol 162:255–261
Bartram CI (1980) Radiologic demonstration of adhesions following surgery for inflammatory bowel disease. Br J Radiol 53:650–653
Beck DE, Opelka FG, Bailey HR, et al (1999) Incidence of small-bowel obstruction and adhesiolysis after open colorectal and general surgery. Dis Colon Rectum 42:241–248
Bizer LS, Liebling RW, Delany HM, et al (1981) Small bowel obstruction: the role of non-operative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction. Surgery 89:407–413
Deitel Vasic V (1979) Major intestinal complications of radiotherapy. Am J Gastroenterol 72:65–70
Dijkstra FR, Nieuwenhuijzen M, Reijnen MM, et al (2000) Recent clinical developments in pathophysiology, epidemiology, diagnosis and treatment of intra-abdominal adhesions. Scand J Gastroenterol Suppl 232:52–59
Ellis H, Moran BJ, Thompson JN, et al (1999) Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 353:1476–1480
Fisher JK (1981) Computed tomographic diagnosis of volvulus in intestinal malrotation. Radiology 140:145–146
Freys SM, Fuchs KH, Heimbucher J, et al (1994) Laparoscopic adhesiolysis. Surg Endosc 8:1202–1207
Fukuya T, Hawes D, Lu C, et al (1992) CT diagnosis of small-bowel obstruction: efficacy in 60 patients. Am J Roentgenol 158:765–769
Gazelle GS, Goldberg MA, Wittenberg J, et al (1994) Efficacy of CT in distinguishing small-bowel obstruction from other causes of small-bowel dilatation. Am J Roentgenol 162: 43–47
Kim AY, Bennett GL, Bashist B, et al (1998) Small bowel obstruction associated with sigmoid diverticulitis: CT evaluation in 16 patients. Am J Roentgenol 170:1311–1313
Kirchhoff S, Ladurner R, Kirchhoff C, et al (2009) Detection of recurrent hernia and intraabdominal adhesions following incisional hernia repair: a functional cine MRI-study. Abdom Imaging online first 29.03.09
Lang RA, Buhmann S, Hopman A, et al (2008) Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases. Surg Endosc 22:2455–2461
Levine MS, Drooz AT, Herlinger H (1987) Annular malignancies of the small bowel. Gastrointest Radiol 12:53–58
Lienemann A, Sprenger D, Steitz HO, et al (2000) Detection and mapping of intraabdominal adhesions by using functional cine MR Imaging: preliminary results. Radiology 217:421–425
Mayo-Smith W, Wittenberg J, Bennett GL, et al (1995) The CT small bowel faeces sign: description and clinical significance. Clin Radiol 50:765–767
Megibow AJ (1994) Bowel obstruction: evaluation with CT. Radiol Clin North Am 32:861–870
Menzies D, Ellis H (1990) Intestinal obstruction from adhesions—how big is the problem? Ann R Coll Surg Engl 72:60–63
Merine D, Fishman EK, Jones B, et al (1987) Enteroenteric intussusception: CT findings in nine patients. AJR Am J Roentgenol 148:1129–1132
Nieuwenhuijzen M, Reijnen MM, Kuijpers JH, et al (1998) Small bowel obstruction after total or subtotal colectomy: a 10-year retrospective review. Br J Surg 85:1242–1245
Pedrosa I, Rofsky NM (2003) MR imaging in abdominal emergencies. Radiol Clin North Am 41:1243–1273
Sandhu PS, Joe BN, Coakley F V, et al (2007) Bowel transition points: multiplicity and posterior location at CT are associated with small-bowel volvolus. Radiology 245:160–167
Sarr MG, Bulkley GB, Zuidema GD (1983) Preoperative recognition of intestinal strangulation obstruction: prospective evaluation of diagnostic capability. Am J Surg 145:176–182
Semelka RC, Balci NC, Op de Beeck B, et al (1999) Evaluation of a 10-minute comprehensive MR imaging examination of the upper abdomen. Radiology 211:189–195
Sulaiman H, Dawson L, Laurent GJ, et al (2002) Role of plasmi-nogen activators in peritoneal adhesion formation. Biochem Soc Trans 30:126–131
Vrijland WW, Tseng LN, Eijkman HJ, et al (2002) Fewer intraperitoneal adhesions with use of hyaluronic acid-carboxymethylcellulose membrane: a randomized clinical trial. Ann Surg 235:193–199
Vrijland WW, Jeekel J, van Geldorp HJ, et al (2003) Abdominal adhesions: intestinal obstruction, pain, and infertility. Surg Endosc 17:1017–1022
Zbar RI, Crede WB, McKhann CF, et al (1993) The postoperative incidence of small bowel obstruction following standard, open appendectomy and cholecystectomy: a six-year retrospective cohort study at Yale-New Haven Hospital. Conn Med 57:123–127
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Lienemann, A., Kirchhoff, S. (2010). MRI of Adhesions and Small Bowel Obstruction. In: Stoker, J. (eds) MRI of the Gastrointestinal Tract. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-85532-3_16
Download citation
DOI: https://doi.org/10.1007/978-3-540-85532-3_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-85531-6
Online ISBN: 978-3-540-85532-3
eBook Packages: MedicineMedicine (R0)