Ultrasound image of fatty mane of colon

This is an automatically translated article.

The article is expertly consulted by Master, Doctor Nguyen Thi Mai Anh - Doctor of Radiology - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International General Hospital. Doctor Nguyen Thi Mai Anh has nearly 10 years of experience in the field of diagnostic imaging, especially in imaging breast and thyroid cancer.
The ultrasound image of fatty mane is an inflammation of the fatty lobes on the outer surface of the large intestine. Although this is a rare disease but not too dangerous, usually the disease can be relieved from 5-7 days without treatment intervention.

1. Learn about colonic fatty mane disease and its causes?

In the medical literature, epiploic appendagitis is an inflammation of the fatty sacs attached to the outer surface of the large intestine. Normally, each fatty mane is nourished and supplied with blood by a small branch of a vein and an artery. Colonic fat bags are usually yellow in color and include 1 vein and 1-2 arteries, shaped like a little finger, grape or oval.

The number of fat sacs ranges from 50 to 100 extending from the cecum to the junction between the sigmoid colon and the rectum. Fat sacs can become ischemic and necrotic due to venous torsion or thrombus formation. According to the evaluation of specialists, steatocolitis is difficult to diagnose clinically and is often confused with common intestinal problems such as colitis, diverticulitis, and inflammation of the colon. appendix. In fact, the disease is self-limiting and usually resolves on its own in 5-7 days. Currently, the treatment of the disease is mainly using drugs to treat symptoms. Therefore, ulcerative colitis is not a very dangerous disease.
Fatty colonic meningitis is divided into 2 types, primary and secondary. Primary steatitis is more common in overweight women over 50 years of age. The disease occurs due to volvulus of the sigmoid colon or due to spontaneous blood clots that disrupt the blood supply to the lining of the colon, thereby causing colitis. As for secondary steatorrhea, it is often determined to be caused by an inflammatory bowel disease (acute colitis, appendicitis, cholecystitis, diverticulitis,...). These diseases cause inflammation and damage to the lining of the colon, which in turn alters the flow of blood in the colon lining. The uneven distribution of blood flow mainly focuses on a few sites, thereby stimulating an inflammatory response and the appearance of fatty pockets.

2. Ultrasound image of steatorrhea of ​​the colon

Currently, ultrasound and CT scan are of great significance in contributing to the imaging of colonic fatty mane.
When conducting ultrasound, people with fatty meningitis will see a round or oval hyperechoic mass, with a slight hypoechoic border around, this tumor is not flattening, located near the colon wall, pressing is felt. pain. As for the color Doppler ultrasound, there is no sign of blood vessels in the mass, which has both diagnostic value and helps to differentiate it from other inflammatory conditions such as diverticulitis, appendicitis.
Therefore, when suffering from fatty meningitis, the patient often shows the basic signs such as: pain in the middle and lower abdomen, especially pain more in the left side. The pain can be dull to intense and the pain is increased when the hand is pressed against the abdominal wall. In addition, the patient also feels more pain when taking deep breaths, coughing and performing abdominal stretching movements. In addition to the above common signs, a few patients also notice other symptoms such as: Diarrhea, loss of appetite, fever, vomiting... However, the symptoms of this disease are usually quite faint, easy to confuse, so the disease is detected only through the image of colonic fatty mane on ultrasound.

3. Is ulcerative colitis dangerous and how should it be treated?

Many people who are diagnosed with the disease by ultrasound images of fatty mane on ultrasound are often quite worried, do not know if the disease is dangerous and affects their health as well as how to treat it?
As shared, colitis is a fairly rare disease and not too dangerous as many people think. The disease can be cured in a short time, only a few cases need surgical intervention. However, not so that the patient is allowed to be subjective, if the patient does not adjust the diet and activities, the patient may face some risks such as: Creating an abscess in the intestine, peritonitis, intussusception bowel, intestinal obstruction, intestinal adhesions. The disease can even be life-threatening. So when being diagnosed with fatty colitis, how should the patient be treated?
Currently, one of the simple, popular ways to improve the condition that patients can do at home is as follows:
3.1. Home care First, you should rest for 3-5 days after the onset of symptoms. Limit vigorous exercise, stretch abdominal muscles so that the body does not hurt. The diet should eat soft, liquid, nutrient-rich and easy-to-digest foods to reduce pressure on the intestinal tract, help the colon easily digest food, and avoid over-stimulation. Stimulants such as alcohol, alcoholic beverages, fast food, spicy foods, difficult to digest should be minimized. Should keep psychological comfort, avoid heavy labor and exercise with high intensity during the treatment period. 3.2. Using drugs

Because the disease causes pain, affecting health and life, doctors often prescribe pain relievers, anti-inflammatory drugs in this case such as:
Paracetamol: This is a commonly preferred drug. used first, because it is relatively safe at therapeutic doses. However, in case the patient has hepatitis, kidney failure, anemia many times and deficiency of G6PD enzyme, it is necessary to discuss further with the doctor for the appropriate use of the drug. Ibuprofen: Ibuprofen is a non-steroidal anti-inflammatory drug. This drug has a stronger anti-inflammatory and pain-relieving main effect than Paracetamol. Like many other drugs. Ibuprofen is contraindicated for people who have a history of gastrointestinal bleeding, are suffering from peptic ulcer disease,... Antibiotics: People with fatty mane of the colon are also often prescribed antibiotics in treatment. The purpose of using antibiotics is to prevent infection and prevent complications such as abscesses, peritonitis,... Basically these drugs are usually prescribed for 3-7 days, depending on the condition and the health of the patient. For people with steatorrhea, who have persistent pain, they need to go to the hospital immediately for examination and appropriate treatment. Because this is often the case where the patient does not respond to conservative treatment, it will be necessary to perform a colonic fat removal surgery with the aim of helping to reduce the risk of recurrence and prevent dangerous complications such as high blood pressure. car, peritonitis,...
Currently, the best way to prevent steatorrhea is to actively control weight. Exercise regularly, eat in moderation, eat well, avoid fasting or overeating. Thorough treatment of intestinal diseases such as diverticulitis, colitis,... When the body appears pain or has symptoms similar to the disease, it is necessary to go to the hospital immediately to ultrasound the colonic fatty mane. If necessary, it can be treated early to achieve high results and save maximum costs.
Vinmec International General Hospital has put an international standard ultrasound system in the examination and diagnosis of many diseases, including colonic fatty mane. Accordingly, the gastrointestinal ultrasound process at Vinmec is carried out methodically and in accordance with the standard procedure by a team of highly skilled doctors and nurses, modern machinery system, thus giving ultrasound images of manetritis. Accurate colon fat, contributes significantly to the identification of the disease and the stage of the disease.

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