Abstract
An ultrasound study carried out on 22 patients with ulcerated gastrointestinal lesions (20 adenocarcinomas and 2 peptic ulcers) showed, in all cases, an echogenic focus (EF) that was situated in the gastrointestinal wall. In order to find out the histopathologic significance of this focus and its location, an examination was made “in vitro” of 8 surgical specimens obtained from gastrectomies-6 from peptic and 2 from malignant ulcers. The specimens were immersed in a water bath using a 5-MHz transducer. A common finding in all the specimens was an EF similar to that seen in the clinical study and situated behind the crater of the ulcer. In this location the histopathologic findings demonstrated necrotic and inflammatory material in both the benign and malignant lesions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Miller JH, Kemberling CR: Ultrasound of the pediatric gastrointestinal tract.Sem Ultrasound CT MR 8:349–365, 1987
Swischuk LE, Hayden CK, Boulden T: Intussusception: indications for ultrasonography and explanation of the doughnut and pseudokidney signs.Pediatr Radiol 15:388–391, 1985
Hayden CK Jr, Swischuk LE: The gastrointestinal tract. InPediatric Ultrasonography. Baltimore, MD: Williams and Wilkins, 1987, pp 121–122
Bolondi L, Casanova P, Santi V, Caletti GC, Barbara L, Labó G: Sonographic appearance of the normal gastric wall: an in vitro study.Ultrasound Med Biol 12:991–998, 1986
Derchi LE, Biggi E, Neumaier CE, Cicio GR: Ultrasonographic appearances of gastric cancer.Br J Radiol 56:365–370, 1983
Machi J, Takeda J, Sigel B, Kakegawa T: Normal stomach wall and gastric cancer: evaluation with high-resolution operative US.Radiology 159:85–87, 1986
Gordon SJ, Rifkin MD, Goldberg BB: Endosonographic evaluation of mural abnormalities of the upper gastrointestinal tract.Gastrointest Endosc 32:193–198, 1986
Bolondi L, Casanova P, Caletti GC, Grigioni W, Zani L, Barbara L: Primary gastric lymphoma versus gastric carcinoma: endoscopic US evaluation.Radiology 165:821–826, 1987
Pozniak MA, Scanlan K, Yandow D: Ultrasound in the evaluation of bowel disorders.Sem Ultrasound CT MR 8:366–384, 1987
Dinkel E, Dittrich M, Peters H, Baumann W: Real-time ultrasound in Crohn's disease: characteristic features and clinical implications.Pediatr Radiol 16:8–12, 1986
Hayden CK Jr, Swischuk LE: The gastrointestinal tract. InPediatric Ultrasonography. Baltimore, MD: Williams and Wilkins, 1987, pp 128–129
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Martinez-Noguera, A., Mata, J., Matias-Guiu, X. et al. Echogenic focus in the gastrointestinal wall as a sign of ulceration. Gastrointest Radiol 14, 295–299 (1989). https://doi.org/10.1007/BF01889221
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01889221