Algin Oktay, Evrimler Sehnaz, Ozmen Evrim, Metin Melike, Ersoy Osman, Karaoglanoglu Mustafa
Department of Radiology, Ataturk Training and Research Hospital, Ankara, Turkey.
Iran J Radiol. 2012 Mar;9(1):32-6. doi: 10.5812/iranjradiol.6545. Epub 2012 Mar 25.
Desmoid tumors (DTs) are benign tumors which are not seen very often, and most of the radiologists and clinicians do not know the characteristics of them very well. Correct and early diagnosis of DTs is important for decreasing mortality and morbidity. Computed tomography enterography (CTE) is a new modality for small bowel imaging which combines the improved spatial and temporal resolution of multidetector computed tomography (CT) with large volumes of ingested enteric contrast material to permit evaluation of the small bowel wall and lumen and also the entire abdomen. We report a familial adenomatous polyposis (FAP) patient with localized mesentery and abdominal wall DTs. We showed the exact location of the DTs and their relation with the small bowel by CTE. In conclusion, CTE is a useful technique for DT localization, the degree of extension and invasion to local structures, presence of partial and complete small bowel obstruction, and the relationship of the tumors with vasculature and whether ischemia has occurred as a result or not.
硬纤维瘤（DTs）是一种不常见的良性肿瘤，大多数放射科医生和临床医生对其特征了解并不深入。DTs的正确早期诊断对于降低死亡率和发病率至关重要。计算机断层扫描小肠造影（CTE）是一种用于小肠成像的新方法，它将多排计算机断层扫描（CT）提高的空间和时间分辨率与大量摄入的肠道造影剂相结合，以评估小肠壁、肠腔以及整个腹部。我们报告了一例患有局限性肠系膜和腹壁DTs的家族性腺瘤性息肉病（FAP）患者。我们通过CTE展示了DTs的确切位置及其与小肠的关系。总之，CTE是一种有用的技术，可用于DTs的定位、向局部结构的扩展和侵犯程度、部分和完全性小肠梗阻的存在情况，以及肿瘤与脉管系统的关系以及是否由此导致了缺血。
