J Korean Radiol Soc.  1982 Mar;18(1):111-115. 10.3348/jkrs.1982.18.1.111.

Roentgenographic signs of massive ascites in the double-contrasted stomach

• Park SH
• Choi IB
• Bahk YW

• KMID: 2463340
• DOI: http://doi.org/10.3348/jkrs.1982.18.1.111

Abstract

There are many established roentgen signs of ascites such as hepatic angle sign, generalized graying of the abdomen, frog belly appearance and Hellmer's sign. These signs are easily recognized in the standard flat abdomen film. It is however hardly possible to recognize such signs in small films of double contrasted upper GI series. By a retrospectroscopical observation we were able to find some interesting signs of massive ascites in small size films of double contrasted stomach and duodenum of upper GI series. The clinical materials consisted of 27patients with massive ascites and 30 normal subjects. The signs we observed were ;(1) Constriction deformity of the junction of the fundus and body of the stomach. We named this "waist" sign. This constriction was attended by convergence of mucosal folds. We called this "converging folds" sign. (2) The fundus assumed electric bulbappearance with its long axis directed vertically. We called this "electric bulb" sign. In normal subjects the fundus assumed beret-cap like appearance. These signs were only appreciated in the supine and RAO views and not in other views. Of these new signs of massive ascites where fundic view was obtained in supine or RAO position.

MeSH Terms

Abdomen
Ascites*
Congenital Abnormalities
Constriction
Duodenum
Stomach*