Abdominal adhesions are bands of scar tissue (ﬁbrous band or ﬁbrous fatty tissue), most often occurring as a complication of previous abdominal surgery. Bands form, interconnecting loops of bowel or adhering loops of bowel to the parietal peritoneum, mainly the abdominal wall and the sub-peritoneal organs.
Patients with a history of intra-abdominal inﬂammatory disease not treated with surgery, multiple abdominal operations or previous postoperative intraabdominal complications are most likely to develop adhesions.
A non-invasive tool for use in the diagnosis of adhesions is desirable, as the widely used laparoscopic exploration itself may result in the formation of adhesions. The detection of intra-abdominal adhesions is based on indirect signs or abnormal visceral slide.
Computed tomography (CT) has proved to be a valuable diagnostic modality in the detection of advanced adhesion-related problems such as a bowel obstruction or bowel ischaemia. In the absence of concomitant diseases, an abrupt transition from dilated to collapsed bowel segments may be the only hint of the presence of adhesions that can be depicted on CT scans.
Enteroclysis studies are advocated in patients with equivocal clinical symptoms or negative ﬁndings at CT.
Indirect signs include
- distortion of folds with luminal narrowing
- kinking of an entire loop
Direct signs include
- visible crossing bands
- a missing separation of adjacent loops with external manual compression
Therefore, this procedure can be used to more accurately identify the location and the cause of the obstruction.
- 1. Lienemann A, Sprenger D, Steitz HO et-al. Detection and mapping of intraabdominal adhesions by using functional cine MR imaging: preliminary results. Radiology. 2000;217 (2): 421-5. Radiology (full text) - Pubmed citation
- 2. Suslavich FJ, Turner NA, King PS et-al. Intraabdominal adhesions: intraoperative US. Radiology. 1989;172 (2): 387-8. Radiology (abstract) - Pubmed citation
- 3. Zinther NB, Fedder J, Friis-andersen H. Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature. Surg Endosc. 2010;24 (11): 2681-6. doi:10.1007/s00464-010-1119-6 - Pubmed citation
Synonyms & Alternative Spellings
|Synonyms or Alternative Spelling||Include in Listings?|
|Abdominal fibrous adhesion||✗|
|Abdominal fibrous adhesions||✗|