Antonopoulos Petros, Constantinidis Fotois, Charalampopoulos Georgios, Dalamarinis Konstantinos, Karanicas Ioannis, Kokkini Garyfallia
Department of Computed Tomography, 1st IKA, Sismanoglio General Hospital, Sismanogliou 1 Maroussi, 15126, Athens, Greece.
Emerg Radiol. 2008 Mar;15(2):123-6. doi: 10.1007/s10140-007-0643-8. Epub 2007 Jul 10.
The role of computed tomography (CT) scanning in a case of Yersinia enterocolitica (YE) enteritis mimicking acute appendicitis in a 34-year-old female patient with beta-thalassemia major is presented. Although the abdominal CT findings on admittance were indicative of acute appendicitis (enlargement of the appendix and thickening of its wall), making appendectomy a likely treatment option, a second CT scan 3 days later was diagnostic for infectious colitis (bowel wall thickening, ulcerations of the colonic mucosa, and fat stranding), and an unnecessary appendectomy was thus avoided. The diagnosis of YE colitis was later confirmed by serology tests.
本文介绍了计算机断层扫描（CT）在一名34岁重型β地中海贫血女性患者中，对模仿急性阑尾炎的小肠结肠炎耶尔森菌（YE）肠炎病例的作用。尽管入院时腹部CT表现提示急性阑尾炎（阑尾肿大及阑尾壁增厚），使阑尾切除术成为可能的治疗选择，但3天后的第二次CT扫描诊断为感染性结肠炎（肠壁增厚、结肠黏膜溃疡及脂肪条纹），从而避免了不必要的阑尾切除术。YE结肠炎的诊断后来通过血清学检查得到证实。
