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酷似结肠癌的右半结肠憩室炎的影像学表现:病例报告

Imaging findings of right colon diverticulitis that mimics colon cancer: a case report.

作者信息

Kosma Lamprini K, Galani Panagiota N, Lafoyianni Sofia P

机构信息

Radiology Department, A Fleming General Hospital 14, 25 Martiou Street, 15127 Melissia, Athens Greece.

出版信息

Cases J. 2009 Jul 17;2:6289. doi: 10.4076/1757-1626-2-6289.

DOI:10.4076/1757-1626-2-6289
PMID:19829779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740321/
Abstract

We present a case report of a patient with imaging findings of right colon diverticulitis that mimics colon cancer. The computed tomography showed a segment of narrowing with shoulder formation at ascending colon suggesting cancer. The colonoscopy and the follow-up imaging clarify the diagnosis of diverticulitis. We assess the value of computed tomography findings of acute diverticulitis in excluding cancer.

摘要

我们报告一例患者,其右结肠憩室炎的影像学表现酷似结肠癌。计算机断层扫描显示升结肠有一段狭窄并伴有肩部形成,提示为癌症。结肠镜检查及后续影像学检查明确了憩室炎的诊断。我们评估了急性憩室炎的计算机断层扫描结果在排除癌症方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c48/2740321/8660e735ee0a/1757-1626-0002-0000006289-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c48/2740321/185173a9f452/1757-1626-0002-0000006289-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c48/2740321/8660e735ee0a/1757-1626-0002-0000006289-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c48/2740321/185173a9f452/1757-1626-0002-0000006289-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c48/2740321/8660e735ee0a/1757-1626-0002-0000006289-002.jpg

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本文引用的文献

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Surgery for right-sided colonic diverticulitis: results of a 10-year-observation period.右侧结肠憩室炎的手术治疗:10年观察期的结果
Langenbecks Arch Surg. 2007 Mar;392(2):143-7. doi: 10.1007/s00423-006-0109-6. Epub 2006 Oct 28.
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CT of bowel wall thickening: significance and pitfalls of interpretation.肠壁增厚的CT检查:解读的意义与陷阱
AJR Am J Roentgenol. 2001 May;176(5):1105-16. doi: 10.2214/ajr.176.5.1761105.
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Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma.
盲肠和升结肠急性憩室炎:薄层螺旋CT表现对排除结肠癌的价值
AJR Am J Roentgenol. 2000 May;174(5):1397-402. doi: 10.2214/ajr.174.5.1741397.
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Diverticulitis versus colon cancer: differentiation with helical CT findings.憩室炎与结肠癌:基于螺旋CT表现的鉴别诊断
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Acute diverticulitis of the cecum and ascending colon: thin-section helical CT findings.盲肠和升结肠急性憩室炎:薄层螺旋CT表现
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Right colonic diverticulitis: US and CT findings--new insights about frequency and natural history.右半结肠憩室炎:超声和CT表现——关于发病率及自然病程的新见解
Radiology. 1998 Sep;208(3):611-8. doi: 10.1148/radiology.208.3.9722836.
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Diverticulitis of the right colon revisited.
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Diverticulitis of the right colon: CT observations.右半结肠憩室炎:CT表现
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10
Limitations in the CT diagnosis of acute diverticulitis: comparison of CT, contrast enema, and pathologic findings in 16 patients.急性憩室炎CT诊断的局限性:16例患者CT、钡剂灌肠造影及病理结果对比
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