ABSTRACT
This study was undertaken to determine whether the omission of a low-residue diet in the days leading up to barium enema resulted in poorer bowel preparation. 300 patients were randomized prospectively into one of two groups. One group followed a low-residue diet for the 3 days leading up to the study, the other continued their usual diet. Both groups had two doses of "Picolax" the day before the study. 17 patients did not attend, and a further two patients were excluded, leaving 281 patients for prospective study. The subsequent investigation was assessed blind by a consultant radiologist and graded for faecal residue, mucosal coating and diagnostic quality. No statistically significant difference was found between the two groups for amount of faecal residue (p < 0.25), mucosal coating (p < 0.25) or diagnostic quality (p < 0.5). We conclude, therefore, that a preliminary low-residue diet is unnecessary in the preparation of patients for barium enema. Patients should continue with their usual diet up to the day prior to the test and then have standard purgative preparation.
Subject(s)
Barium Sulfate , Dietary Fiber/administration & dosage , Enema/methods , Aged , Cathartics , Citrates , Clinical Protocols , Female , Humans , Male , Middle Aged , Organometallic Compounds , Picolines , Prospective Studies , Single-Blind MethodABSTRACT
The sonographic diagnosis of post-operative enterocutaneous fistula is presented. This has not previously been reported in the English literature.
Subject(s)
Fistula/diagnostic imaging , Intestinal Fistula/diagnostic imaging , Postoperative Complications/diagnostic imaging , Skin Diseases/diagnostic imaging , Female , Humans , Middle Aged , UltrasonographyABSTRACT
The sonographic findings in two cases of testicular lymphoma are presented. Both show hypoechoic striations radiating out from a hypoechoic mediastinum testis. This appearance has not previously been described and may represent infiltration along the lymphatics within the testis.
Subject(s)
Lymphoma, Non-Hodgkin/diagnostic imaging , Testicular Neoplasms/diagnostic imaging , Aged , Humans , Lymphoma, Non-Hodgkin/pathology , Male , Middle Aged , Testicular Neoplasms/pathology , UltrasonographyABSTRACT
A case of fatal pulmonary embolus in a 9-year-old child is presented, in which there is an unusual underlying cause. Whilst pulmonary embolism is rare in childhood, it must be considered when the clinical and radiological circumstances are appropriate. Extensive thrombosis of the lower limbs can occur without clinical signs and the value of venography is emphasised.
