De Peuter B, Box I, Vanheste R, Dymarkowski S
Department of Radiology, University Hospitals Leuven, 3000 Leuven, Belgium.
Gastroenterol Res Pract. 2009;2009:549853. doi: 10.1155/2009/549853. Epub 2009 Aug 2.
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.
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。