Simon A M, Birnbaum B A, Jacobs J E
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104, USA.
Radiology. 2000 Feb;214(2):513-6. doi: 10.1148/radiology.214.2.r00fe15513.
Colonic ischemia isolated to the cecum is a rare entity. The authors evaluated two patients who underwent computed tomography (CT) because appendicitis was suspected at clinical examination. CT findings were suggestive of isolated cecal ischemia or infarction. Surgical-histopathologic findings helped confirm the presumptive CT diagnoses. Isolated cecal infarction should be included in the differential diagnosis of acute right lower quadrant pain.
仅局限于盲肠的结肠缺血是一种罕见的情况。作者评估了两名因临床检查怀疑为阑尾炎而接受计算机断层扫描(CT)的患者。CT检查结果提示为孤立性盲肠缺血或梗死。手术病理结果有助于证实CT的初步诊断。孤立性盲肠梗死应列入急性右下腹疼痛的鉴别诊断范围。