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小肠憩室病:影像学表现及三例病例分析

Small-bowel diverticulosis:imaging findings and review of three cases.

作者信息

De Peuter B, Box I, Vanheste R, Dymarkowski S

机构信息

Department of Radiology, University Hospitals Leuven, 3000 Leuven, Belgium.

出版信息

Gastroenterol Res Pract. 2009;2009:549853. doi: 10.1155/2009/549853. Epub 2009 Aug 2.

DOI:10.1155/2009/549853
PMID:19657452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2719756/
Abstract

Complicated small-bowel diverticulosis is a rather uncommon cause of upper abdominal pain. It may lead to symptoms presenting with an acute onset or to chronic and nonspecific complaints. As the presentation is often similar to other pathologies (acute appendicitis, pancreatitis, or acute cholecystis) and in many cases diagnosis is made on basis of surgical findings, careful analysis of the imaging landmarks may be warranted to aid in the early stages of detection. In this report, we present clinical and morphological findings in three patients where small-bowel diverticulitis was surgically proven. The relevant literature is reviewed, and typical imaging properties are discussed.

摘要

复杂性小肠憩室病是上腹部疼痛相对少见的病因。它可能导致急性起病的症状或慢性非特异性主诉。由于其表现常与其他病症(急性阑尾炎、胰腺炎或急性胆囊炎)相似,且在许多情况下是根据手术所见做出诊断,因此可能需要仔细分析影像学特征以辅助早期检测。在本报告中,我们呈现了3例经手术证实为小肠憩室炎患者的临床和形态学表现。对相关文献进行了综述,并讨论了典型的影像学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/1db04d42203d/GRP2009-549853.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/d49c9c88a334/GRP2009-549853.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/0d3eba47e038/GRP2009-549853.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/1db04d42203d/GRP2009-549853.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/d49c9c88a334/GRP2009-549853.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/0d3eba47e038/GRP2009-549853.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5732/2719756/1db04d42203d/GRP2009-549853.003.jpg

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本文引用的文献

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CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management.空肠憩室炎的CT:影像学表现、鉴别诊断及临床处理
Clin Radiol. 2007 Jan;62(1):73-7. doi: 10.1016/j.crad.2006.09.014.
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Jejunal-Ileal Diverticulosis Induced Witzel Tube Failure: A Rare Cause of Small Bowel Obstruction.空肠-回肠憩室病导致维泽尔管失败:小肠梗阻的罕见原因。
Cureus. 2022 Apr 17;14(4):e24209. doi: 10.7759/cureus.24209. eCollection 2022 Apr.
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