Acute stomach in the picture
An image in a vertical position is a classic of emergency diagnostics: a crescent of gas under the dome of the diaphragm means perforation of a hollow organ and immediate surgery; horizontal levels of liquid with gas above them - mechanical or dynamic obstruction, the localization of which (small/large intestine) is visible by the location and folds of the loops. Fecal stones, foreign bodies, and massive ascites are also detected. If in doubt, the study is supplemented with ultrasound and MSCT; if perforation is suspected in debilitated patients, CT is more sensitive.
Indications
- acute abdominal pain - exclusion of obstruction and perforation (survey image);
- dysphagia, stomach pain, suspicion of an ulcer and tumor—scopy/barium graph;
- injuries and pain in the pelvic area - photographs of the pelvic bones;
- fistulas after operations and inflammation - fistulography;
- control of the chest organs in motion (diaphragm, mediastinum).
Copy and graphics
X-ray is a picture that records the condition of an organ; fluoroscopy - real-time observation showing motility: peristalsis of the stomach and intestines, mobility of the diaphragm, the passage of barium through the esophagus and pylorus. Therefore, for functional tasks (impaired swallowing, gastric evacuation, suspected dynamic obstruction), a copy is used, and to document the morphology (ulcer niche, filling defect in a tumor, mucosal relief) a series of targeted images is used; often methods are combined in one study.
