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Target Sign

The ultrasound findings indicate multiple dilated small bowel loops, suggestive of small bowel obstruction, with increased peristaltic activity and mild free fluid in the peritoneal cavity. A target sign consistent with ileocolic intussusception is also observed, indicating a bowel-within-bowel configuration. Further evaluation with abdominal X-ray or CT scan is recommended to confirm the diagnosis and identify the cause.

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56 views1 page

Target Sign

The ultrasound findings indicate multiple dilated small bowel loops, suggestive of small bowel obstruction, with increased peristaltic activity and mild free fluid in the peritoneal cavity. A target sign consistent with ileocolic intussusception is also observed, indicating a bowel-within-bowel configuration. Further evaluation with abdominal X-ray or CT scan is recommended to confirm the diagnosis and identify the cause.

Uploaded by

hindbossj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd

Multiple dilated small bowel loops are noted, with diameter measuring approximately

___ mm. Increased peristaltic activity ("to-and-fro" movement) seen in proximal


bowel loops. Distal bowel loops appear collapsed. Intraluminal fluid levels
appreciated. Mild free fluid is noted in the peritoneal cavity, particularly in the
interloop spaces.
Impression:
Ultrasound features are suggestive of small bowel obstruction.
Recommend correlation with clinical findings and further evaluation with X-ray
abdomen erect or CT scan for confirmation and to determine the cause.

Multiple dilated small bowel loops noted with maximum diameter ~22 mm.
Hyperperistalsis ("to-and-fro" movement) observed. Distal bowel loops appear
collapsed. Free fluid noted between bowel loops. No evidence of intussusception or
free intraperitoneal air.
Impression:
🔸 Features are suggestive of small bowel obstruction.
🔸 Further evaluation with abdominal X-ray or CT may be required to identify the
cause (e.g., congenital bands, volvulus, etc.).

Target sign
A target sign (donut sign) is seen in the right lower quadrant, measuring
approximately 3.0 × 2.5 cm, consistent with intussusception. Multiple concentric
rings seen in transverse section; sandwich sign in longitudinal section. The lesion
involves the ileocolic junction, suggestive of ileocolic intussusception.
Impression:
✅ Ultrasound features are consistent with ileocolic intussusception.

All types target sign


Ultrasound reveals a bowel-within-bowel configuration, appearing as a target sign
(transverse view) and sandwich sign (longitudinal view). Involved bowel segment
measures approximately __ × __ cm. Suggestive of [enter the type if known, e.g.,
ileocolic / ileoileal / colocolic] intussusception. No obvious lead point (e.g.,
mass or lymph node) is visualized. Minimal free fluid noted in the peritoneal
cavity. Bowel wall vascularity is preserved on color Doppler study.
Impression:
✅ Ultrasound findings are suggestive of intussusception.

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