Robson N K, Khan S M, Rawlinson J, Dewbury K C
Department of Radiology, Southampton General Hospital.
Clin Radiol. 1992 Nov;46(5):337-9. doi: 10.1016/s0009-9260(05)80380-0.
The clinical and plain radiographic findings in three patients presenting with ischaemic colitis are presented. The radiographic signs were atypical in that featureless dilatation of the large bowel was present with no evidence of gas within the bowel wall or 'thumbprinting', and changes were not localized to the left colon. No thrombotic or embolic vascular occlusion was evident on examination of the resected specimens. We attempt to correlate the pathological and radiological findings, and emphasize the importance of considering this diagnosis in elderly patients who have a dilated featureless colon on plain radiographs.
本文介绍了三名缺血性结肠炎患者的临床和普通X线检查结果。X线征象不典型，表现为大肠无特征性扩张，肠壁内无气体或“拇指印征”，且病变并非局限于左半结肠。对切除标本的检查未发现血栓形成或栓塞性血管闭塞。我们试图将病理和影像学结果进行关联，并强调对于在普通X线片上有扩张、无特征性结肠的老年患者考虑这一诊断的重要性。
