Makino K, Kohzaki S, Mori M, Amamoto Y, Matsumoto A, Mori H, Hayashi K
Department of Radiology, Yamaguchi Prefecture Central Hospital, Hofu, Japan.
Radiat Med. 2000 Jul-Aug;18(4):257-9.
Two cases of primary small bowel volvulus in neonates are presented. On abdominal plain radiographs pseudotumor sign was seen in both cases. CT showed intensely distended fluid-filled small bowel loops on the right side of the abdomen and diffuse distention of the proximal small bowel loops with air-fluid levels. US also showed distended fluid-filled loops containing echogenic foci without peristalsis. We consider that CT and US can play important roles in the diagnosis of small bowel volvulus in neonates.
本文报告两例新生儿原发性小肠扭转病例。两例患者腹部平片均可见假肿瘤征。CT显示腹部右侧充满液体的小肠袢明显扩张,近端小肠袢弥漫性扩张并伴有气液平面。超声检查也显示充满液体的扩张肠袢内有强回声灶,无蠕动。我们认为CT和超声在新生儿小肠扭转的诊断中可发挥重要作用。