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Fundamentals of large bowel anatomy related to the problems of DCBE

  • Giorgio Cittadini

Abstract

In this chapter, several aspects of the large bowel macro- and microscopic anatomy will be considered which acquire particular importance when carrying out the DCBE procedure and for its interpretation, namely:
  • the three-dimensional lay-out of the various colon segments, which affects barium and air collection depending on patient’s decubitus;

  • the ileocecal valve, which may either take a dependent or nondependent position with respect to its attachment in the cecum, thus affecting proper barium filling of the last ileal loop;

  • the morphology of the semilunar folds and the haustral pouches [1], which becomes important in the assessment of impaired colon motility;

  • the colon sphincters;

  • the innominate grooves.

Keywords

Transverse Colon Ileocecal Valve Fixed Segment Double Contrast Barium Enema Quadratus Lumborum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Weissman A, Bousquet J-C, Harriague D et al (1980) Aspects de l’anatomie radiologique du côlon en double contraste. J Radiol Electrol Med Nucl 61: 301–311Google Scholar
  2. 2.
    Farrar CW (1979) Patterns of sigmoid colon and their implications for barium-enema radiography. Med Radiogr Photogr 55/1: 2–28Google Scholar
  3. 3.
    Meyers MA, Volberg F, Katzen B et al (1973) Haustral anatomy and pathology: A new look. I. Roentgen identification of normal pattern and relationships. Radiology 108: 497–504PubMedGoogle Scholar
  4. 4.
    Meyers MA, Volberg F, Katzen B et al. Haustral anatomy and pathology: A new look. II. Roentgen interpretation of pathological alterations. Radiology 1973; 108: 505–512PubMedGoogle Scholar
  5. 5.
    Balli R (1948) Semeiotica e diagnostica röntgen. Milano: Wassermann & C. Vol II, pp 67–75Google Scholar
  6. 6.
    Williams I (1965) Innominate grooves in the surface of the mucosa. Radiology 84: 877–880PubMedGoogle Scholar
  7. 7.
    Frank DF, Berk RN, Goldstein HM (1977) Pseudoul-cerations of the colon on barium enema examination. Gastrointest Radiol 2: 129–131PubMedCrossRefGoogle Scholar
  8. 8.
    Dassel PM (1962) Innocuous filling of the intestinal glands of the colon durinmg barium enema (spiculation) simulating organic disease. Radiology 78: 799–801PubMedGoogle Scholar
  9. 9.
    Cole FM (1978) Innominate grooves of the colon: morphological characteristics and etiologic mechanisms. Radiology 128: 41–42PubMedGoogle Scholar
  10. 10.
    Matsuura K, Nakata H, Takeda N et al (1977) Innominate lines of the colon. Radiology 123: 581–584PubMedGoogle Scholar
  11. 11.
    Ruffato C, Liessi G, Valente R et al (1979) Kritische betrachtungen zu den “innominate grooves” des kolons. Fortschr Geb Rontgenstr Nuklearmed 131: 594–599CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • Giorgio Cittadini
    • 1
  1. 1.Department of RadiologyUniversity of Genoa School of Medicine San Martino HospitalGenoaItaly

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