Kato Takashi, Kamata Akiyoshi, Nakagawa Souichi, Fujisawa Ryoki, Machida Takuro, Ikari Shuji, Sasaki Kiyotaka, Yamada Hiroto, Kagaya Hidetoshi, Nakamura Hideaki, Meguro Takashi, Horita Shoichi
Department of Internal Medicine, Hokkaido Gastroenterology Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2012 Apr;109(4):615-23.
Computed tomography colonography (CTC) was performed in 5 patients with pneumatosis cystoides intestinalis (PCI). The virtual colonoscopy view of CTC as well as total colonoscopy (TCS) findings showed polypoid lesions in the colon, and multiplanar reconstruction images of the colon revealed in the polypoid lesions of the colon. We confirmed the diagnosis of PCI in all cases. CTC also detected the PCI lesions in the subserosa of the colonic wall which were not detected by TCS. Accurate evaluation of the extent of PCI involvement was obtained by CT air-contrast enema images. CTC is useful for detection of PCI lesions, assessment of the exact site and final diagnosis for PCI.
对5例患有肠壁囊样积气症(PCI)的患者进行了计算机断层结肠成像(CTC)。CTC的虚拟结肠镜视图以及全结肠镜检查(TCS)结果均显示结肠内有息肉样病变,结肠的多平面重建图像也显示了结肠息肉样病变。我们在所有病例中均确诊为PCI。CTC还检测到了TCS未检测到的结肠壁浆膜下层的PCI病变。通过CT气钡灌肠图像可准确评估PCI的累及范围。CTC有助于检测PCI病变、评估确切部位并对PCI进行最终诊断。