Ichikawa Tamaki, Koizumi Jun, Onoue Kaoru, Tanaka Yuri, Hashida Kazunobu, Higashimori Takamasa, Imai Yutaka
Department of Radiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan.
Tokai J Exp Clin Med. 2008 Jul 20;33(2):90-4.
We evaluated the computed tomography (CT) features of juxtapapillary duodenal diverticula (JPDD) with complications in patients who had acute abdomen.
Nineteen JPDD were evaluated in 14 patients (mean age: 50 years), who had acute abdomen on contrast-enhanced helical CT with a diagnosis of complicated JPDD by endoscopic retrograde cholangiopancreatography (ERCP). The size, number, and contents of the JPDD, pacreticobiliary ductal dilation, biliary stones, and other associated findings were evaluated on CT scans.
Eighteen of the 19 JPDD (94.4%) containing air were demonstrated by CT. Their diameter ranged from 20 to 40 mm (mean: 30 mm). Common bile duct dilation was visualized in 12 patients and biliary stones were found in 8 patients. The other findings were cholecystitis, cholangitis, pancreatitis, and liver abscess. The most serious complication was perforation into the retroperitoneal space caused by diverticulitis associated with an enterolith.
Complicated JPDD were well depicted on CT scans, and various findings were revealed. CT evaluation of complicated JPDD was useful for management of these patients.
我们评估了患有急腹症的并发乳头旁十二指肠憩室（JPDD）患者的计算机断层扫描（CT）特征。
对14例患者（平均年龄：50岁）的19个JPDD进行了评估，这些患者在对比增强螺旋CT上表现为急腹症，并经内镜逆行胰胆管造影（ERCP）诊断为复杂性JPDD。在CT扫描上评估JPDD的大小、数量和内容物、胰胆管扩张、胆结石及其他相关表现。
19个JPDD中有18个（94.4%）含有气体，CT显示了这些憩室。其直径范围为20至40毫米（平均：30毫米）。12例患者可见胆总管扩张，8例患者发现胆结石。其他表现包括胆囊炎、胆管炎、胰腺炎和肝脓肿。最严重的并发症是与肠石相关的憩室炎导致的腹膜后间隙穿孔。
CT扫描能很好地显示复杂性JPDD，并揭示各种表现。对复杂性JPDD进行CT评估有助于这些患者的管理。
Zotero 插件