Pumberger W, Hörmann M, Pomberger G, Hallwirth U
Division of Pediatric Surgery, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
J Clin Ultrasound. 2000 Nov-Dec;28(9):492-6. doi: 10.1002/1097-0096(200011/12)28:9<492::aid-jcu8>3.0.co;2-l.
We present 2 cases of intussusception of the appendix vermiformis (IAV) in children. Sonographic examination demonstrated a lead point within a characteristic multiconcentric ring sign, and longitudinal sonograms showed the inverted appendix protruding into the cecal lumen. A contrast-enema study, using a water-soluble contrast medium, was performed in each case, and a "coiled-spring" sign or "spiral shell" appearance confirmed the diagnosis. A surgical reduction of the appendix and an appendectomy were performed in each case.
我们报告了2例儿童阑尾套叠（IAV）病例。超声检查显示在特征性的多同心环征内有一个引导点，纵向超声图像显示倒置的阑尾突入盲肠腔。每例均使用水溶性造影剂进行了对比灌肠检查，“弹簧”征或“螺旋壳”样表现证实了诊断。每例均进行了阑尾复位手术及阑尾切除术。
