线性无症状性肺气囊作为计算机断层结肠成像的意外发现：一例报告
Linear asymptomatic pneumatosis as an unexpected finding of computed tomography colonography: a case report.
作者信息
Flor Nicola, Pricolo Paola, Rovere Antonio, Mezzanzanica Miriam, Peri Mauro, Cornalba Gianpaolo
机构信息
Unità Operativa Radiologia Diagnostica e Interventistica, Azienda Ospedaliera San Paolo, via A di Rudinì 8, 20142 Milano, Italy.
出版信息
J Med Case Rep. 2013 Aug 14;7:205. doi: 10.1186/1752-1947-7-205.
INTRODUCTION
We discuss asymptomatic colonic pneumatosis, an unexpected finding of computed tomography colonography that we must see as distinct from perforation. Among the papers detailing complications with computed tomography colonography, we found only one report focusing on linear pneumatosis.
CASE PRESENTATION
We report the case of a 75-year-old Caucasian woman who had a high level of carcinoembryonic antigen, and who underwent computed tomography colonography. Our patient accidentally fell from a chair in the radiology department just before the examination, experiencing a right hip trauma. The examination was negative for colonic lesions but revealed the presence of some air bubbles in her right colon. Our patient remained asymptomatic throughout the procedure and afterwards; no intervention or treatment was necessary.
CONCLUSION
Radiologists should consider colonic linear pneumatosis among the potential complications of computed tomography colonography, even if it is a rare event, to avoid unnecessary therapy and anxiety for the patient.
引言
我们讨论无症状性结肠积气，这是计算机断层扫描结肠造影的意外发现，我们必须将其视为与穿孔不同的情况。在详细阐述计算机断层扫描结肠造影并发症的论文中，我们仅发现一篇关注线性积气的报告。
病例介绍
我们报告一例75岁白种女性病例，该患者癌胚抗原水平较高，接受了计算机断层扫描结肠造影检查。就在检查前，我们的患者在放射科不小心从椅子上摔倒，右髋部受伤。检查结果显示结肠病变为阴性，但发现其右结肠存在一些气泡。在整个检查过程中及之后，我们的患者均无症状；无需进行干预或治疗。
结论
放射科医生应将结肠线性积气视为计算机断层扫描结肠造影的潜在并发症之一，即使这是一种罕见情况，以避免对患者进行不必要的治疗和造成焦虑。
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