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Journal of Medical Ultrasonics

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1983 - Vol.10

Vol.10 No.03

Original Article(原著)

(0157 - 0165)


Ultrasonographic Diagnosis of Duodenal Ulcer

野上 浩實1, 朝井 均2

Hiromi NOGAMI1, Hitoshi ASAI2

1野上胃腸科外科病院, 2大阪市立大学医学部第三内科

1Nogami surgical Hospital, 2The 3rd Department of Internal Medicine, Osaka City University Medical School

キーワード : ultrasound, duodenal ulcer, thickening of duodenal wall, real-time electronic linear scanner, central strong echo

We report ultrasonograms of duodenal ulcer. All cases we report here were pointed out duodenal ulcer with ultrasound prior to radiographic or endoscopic examinations.
Forty four patients were diagnosed as duodenal ulcer with radiographic or endoscopic examinations and surgical operations. Thirty six patients who had abnormal ultrasonic findings turned out to be true positive out of the forty four patients.
One of the most important pattern in ultrasonography seemed to be thickening of the duodenal wall. 
This pattern consist of central strong echo surrounded by a sonolucent rim corresponding to thickening of the duodenal wall.
So, we concluded that enough care should be taken not only of the stomach but also of the duodenum.