Value analysis of ultrasound classification in disease judgment and treatment plan formulation of patients with adhesive intestinal obstruction

Figure 1 Mild adhesive ileus involving intestinal and abdominal wall adhesions. A: Mild adhesive ileus (intestinal wall and abdominal wall adhesion). The small intestinal wall is attached to the anterior abdominal wall under the peritoneum. When taking a deep breath or during intestinal peristalsis, the adhered intestinal wall is not separated from the abdominal wall; B: Mild adhesive intestinal obstruction with adhesion to the intestinal wall. The small intestinal wall is attached to the small intestinal wall. When the small intestinal wall is adhered to the abdominal wall during deep inhalation or intestinal peristalsis, there is no separation.

Figure 2 Clinical and radiological features of moderate adhesive ileus with adhesive cord vs adhesive mass. A: Moderate adhesive ileus, adhesive cord. A fibrous band is formed between the intestinal tubes, showing a strong band echo; B: Moderate adhesive ileus, adhesive mass. The intestinal tract and mesentery are adhered together, and the mass is adhered and fixed to the anterior abdominal wall. The mass is relatively fixed, the intestinal wall is thickened, the local intestinal peristalsis is weakened or even disappeared, and the air-liquid flow is seen in the mass.

Figure 3 Severe adhesive ileus with complications. A: Severe viscous ileus with internal hernia. The hernia ring structure is the adhered bowel, and the internal hernia shows the hernia ring structure and the bowel herniated into it; B: Severe adhesive ileus with intestinal volvulus. The root of the expanded loop is rotated; C: Severe adhesive ileus with intussusception. The short axis of the intestine is “concentric circle” sign, and the intestinal wall within the intussusception mass shows increased blood flow signal; D: Severe adhesive ileus with intestinal ischemic necrosis. The intestinal wall ischemia ultrasound shows that the layers of the ischemic intestinal wall are not clear.