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Abstract

Introduction: Patients who have undergone laparothomy or Irradiation post surgical intervention at least once reveal adhesions in over 90% of cases. Adhesins produce symptoms only in a minority of cases, but adhesions are responsible for more than half of cases is small bowell obstruction Aim: To evaluate MR enterography as a diagnostic method for detecting adhesions and compare it with a routine MR examination with DWI as a proven tool for detecting adhesions Material and methods: In 17 patients who had post laparothomy intermittent sub occlusions and in 12 patients who had Laparothomy and irradiation therapy after routine MR examination with DWI imaging, MR enterography was performed in 11 patients where intestinal adhesions could not be proven and in MR enterography in 8 of them adhesions were well visible. For examination was used (Siemens, Avanto, 1, 5 T machine with body coil) and 2, 5% mannitol as oral contrast medium was used. Conclusion: MR enterography is superior to routine abdominal imaging even with DWI in the diagnosis of intestinal adhesions.

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