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空肠回肠憩室炎伴局限性穿孔:CT与超声表现

Jejuno-ileal diverticulitis with localized perforation: CT and US findings.

作者信息

Graña Lucía, Pedraja Iñigo, Mendez Ramiro, Rodríguez Ricardo

机构信息

Department of Diagnostic Imaging, Hospital Clínico San Carlos, Profesor Martín Lagos, 28040 Madrid, Spain.

出版信息

Eur J Radiol. 2009 Aug;71(2):318-23. doi: 10.1016/j.ejrad.2008.04.023. Epub 2008 Jun 13.

Abstract

PURPOSE

To describe the computed tomography and ultrasound findings of five cases of small bowel diverticulitis with localized perforation.

MATERIAL AND METHODS

Our database, from April 2003 to August 2007, was reviewed and five cases of small bowel diverticulitis were identified.

RESULTS

Jejuno-ileal diverticulitis with covered perforation usually presents as wall thickening of a small bowel loop and an adjacent inflammatory mass containing air bubbles.

CONCLUSION

Small bowel diverticula are rare and mostly asymptomatic. They become clinically relevant when complications arise, such as diverticulitis. The symptoms of jejuno-ileal diverticulitis are non-specific and the diagnosis is performed mainly by imaging studies.

摘要

目的

描述5例伴有局限性穿孔的小肠憩室炎的计算机断层扫描和超声检查结果。

材料与方法

回顾我们2003年4月至2007年8月的数据库,确定了5例小肠憩室炎病例。

结果

伴有包裹性穿孔的空回肠憩室炎通常表现为小肠肠袢壁增厚以及相邻的含气泡炎性肿块。

结论

小肠憩室罕见且大多无症状。当出现憩室炎等并发症时,它们才具有临床相关性。空回肠憩室炎的症状不具有特异性,诊断主要依靠影像学检查。

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