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磁共振成像特征多发性十二指肠脂肪瘤:一种罕见的肠梗阻病因。

Magnetic resonance imaging features of multiple duodenal lipomas: a rare cause of intestinal obstruction.

机构信息

Center for Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.

出版信息

Jpn J Radiol. 2012 Oct;30(8):676-9. doi: 10.1007/s11604-012-0098-z. Epub 2012 Jul 4.

Abstract

A 65-year-old man was evaluated because of vomiting and epigastric pain. The patient underwent upper gastrointestinal endoscopy and endoscopic ultrasound examination and was found to have multiple polypoid lesions in the D1 and D2 portions of the duodenum, causing almost complete obstruction of the duodenal lumen. The lesions were hyperintense on T1-weighted and intermediately intense on T2-weighted images, with a drop in signal on T1- and T2-weighted fat-suppressed images, consistent with a diagnosis of duodenal lipomas. Pathohistological examination confirmed the diagnosis of duodenal lipomas.

摘要

一位 65 岁男性因呕吐和上腹痛就诊。患者接受了上消化道内镜和内镜超声检查,发现十二指肠 D1 和 D2 段有多发性息肉样病变,导致十二指肠腔几乎完全阻塞。病变在 T1 加权像上呈高信号,在 T2 加权像上呈中等强度信号,在 T1 和 T2 加权脂肪抑制图像上信号下降,符合十二指肠脂肪瘤的诊断。病理组织学检查证实了十二指肠脂肪瘤的诊断。

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