Klose K C, Persigehl M, Biesterfeld S, Günther R W
Klinik für Diagnostische Radiologie, RWTH Aachen.
Radiologe. 1991 Feb;31(2):73-81.
The computed tomographic findings of adenomyomatosis of the gallbladder are described in nine patients, including all main types of this disease. Diagnosis was confirmed by typical cholecystographic findings in all cases, as well as by histological evaluation in three cases. Only in the fundal type were the intramural diverticula well visualized on CT. Although in the other types the Rokitansky-Aschoff sinuses were not clearly shown by CT, when performed without application of a cholegraphic agent, the computed tomographic findings nevertheless appeared to be characteristic. In the area involved, layering of the thickened gallbladder wall, associated with irregular ill-defined borders of the inner layer, appears to be typical. Visualization of these findings was improved following enhancement by intravenous contrast media.
本文描述了9例胆囊腺肌增生症的计算机断层扫描(CT)表现,涵盖了该疾病的所有主要类型。所有病例均通过典型的胆囊造影表现确诊,其中3例还进行了组织学评估。仅在基底型中,CT能清晰显示壁内憩室。尽管在其他类型中,罗-阿窦(Rokitansky-Aschoff窦)在未使用胆囊造影剂的CT检查中显示不清,但CT表现仍具有特征性。在受累区域,增厚的胆囊壁分层,内层边界不规则且不清晰,这似乎是典型表现。静脉注射造影剂增强后,这些表现更加清晰。