Seelen J L, Puylaert J B
Radiologische Abteilung, Westeinde Hospital, Den Haag.
Ultraschall Med. 1991 Dec;12(6):269-71. doi: 10.1055/s-2007-1005942.
In cases of clinical suspicion of an acute appendicitis sonography uncovers another disease as the real cause of the symptoms in about one-quarter of such cases. Bacterial ileocaecitis is most frequently diagnosed (11.6% of N = 786). In special bacteriological stool cultures, Yersinia enterocolitica and Campylobacter jejuni were identified, whereas Salmonella enteritidis was a rarer finding. The typical sonographic manifestation of bacterial ileocaecitis compared against Crohn's disease of the ileocaecal region is described. These two diseases can be differentiated against each other by means of sonography; likewise, it is also possible to distinguish them from appendicitis. Since stool cultures--which are not always prepared if diarrhoea is only mild or completely absent--are received relatively late in acute cases, knowledge of the sonographic manifestation of bacterial ileo caecitis can help save many an unnecessary laparotomy.
在临床怀疑为急性阑尾炎的病例中，超声检查发现约四分之一此类病例的症状真正病因是其他疾病。细菌性回盲肠炎最常被诊断出来（在786例病例中占11.6%）。在特殊的粪便细菌培养中，鉴定出了小肠结肠炎耶尔森菌和空肠弯曲菌，而肠炎沙门氏菌的发现较少。描述了细菌性回盲肠炎与回盲部克罗恩病相比的典型超声表现。这两种疾病可通过超声相互鉴别；同样，也能够将它们与阑尾炎区分开来。由于在急性病例中，如果腹泻仅为轻度或完全没有腹泻，粪便培养（并非总是进行）获得结果相对较晚，了解细菌性回盲肠炎的超声表现有助于避免许多不必要的剖腹手术。
