Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Ultrasonography. 2015 Jan;34(1):74-7. doi: 10.14366/usg.14041. Epub 2014 Oct 27.
We describe a rare case of terminal ileal diverticulitis in a 68-year-old female with a day of history of right lower quadrant pain and tenderness, mimicking acute appendicitis. Ultrasonography revealed small sac-like out-pouching lesions with increased echogenicity of surrounding fat in thickened terminal ileum, suggesting inflamed diverticula. We diagnosed terminal ileal diverticulitis primarily by ultrasonography. The diagnosis was confirmed by subsequent computed tomography.
我们描述了一例罕见的 68 岁女性末端回肠憩室炎病例,该患者有一天的右下腹痛和压痛病史,类似于急性阑尾炎。超声检查显示增厚的末端回肠中有小的囊状外突病变,周围脂肪回声增强,提示炎症性憩室。我们主要通过超声检查诊断为末端回肠憩室炎。随后的计算机断层扫描证实了这一诊断。