CT显示胰腺内气体的意义：9例病例回顾

Significance of intrapancreatic gas demonstrated by CT: a review of nine cases.

作者信息

Mendez G, Isikoff M B

出版信息

AJR Am J Roentgenol. 1979 Jan;132(1):59-62. doi: 10.2214/ajr.132.1.59.

DOI:10.2214/ajr.132.1.59

Abstract

Nine patients with intrapancreatic air were encountered among 450 patients evaluated for pancreatic pathology. Eight of these patients had surgically proven pancreatic abscesses. The ninth had spontaneous perforation of a pancreatic pseudocyst into the gastrointestinal tract as an explanation of the intrapancreatic air. Computer tomography has been found to be very helpful, not only in the initial diagnosis of pancreatic abscessses, but also in the evaluation of distant spread of the infection. The presence of intrapancreatic air in our experience is the most reliable sign of a pancreatic abscess.

摘要

在450例接受胰腺病理评估的患者中，发现9例存在胰腺内积气。其中8例患者经手术证实患有胰腺脓肿。第9例患者的胰腺假性囊肿自发穿孔进入胃肠道，以此解释胰腺内积气的原因。计算机断层扫描已被证明非常有用，不仅有助于胰腺脓肿的初步诊断，还能用于评估感染的远处扩散。根据我们的经验，胰腺内积气是胰腺脓肿最可靠的征象。