Nay John, Menias Christine O, Mellnick Vincent M, Balfe Dennis M
Washington University School of Medicine Mallinckrodt Institute of Radiology, 510 S. Kingshighway Blvd, Saint Louis, MO, 63110, USA,
Abdom Imaging. 2015 Aug;40(6):1926-43. doi: 10.1007/s00261-014-0334-3.
Systemic diseases have many different presentations, including imaging findings in the bowel. Recognizing the imaging findings in these diseases is important in making the correct diagnosis. Although certain imaging features overlap, knowledge of specific findings along with the clinical presentation aid in narrowing the differential or in making an imaging diagnosis. The pictorial review will focus on the gastrointestinal manifestations of systemic diseases, including amyloidosis, angiotensin converter enzyme inhibitor-induced angioedema, celiac sprue, distal intestinal obstruction syndrome, graft-versus-host disease, hemolytic uremic syndrome, hemophilia, Henoch-Schönlein purpura, intestinal lymphangiectasia, mastocytosis, scleroderma, systemic lupus erythematosus, Wegener's granulomatosis, and Whipple's disease. The aforementioned diseases can be subdivided based upon the underlying process leading to the disease. The diseases discussed are categorized into autoimmune, infiltrative, treatment related, congenital/hereditary, and infectious etiologies.
全身性疾病有许多不同的表现形式,包括肠道的影像学表现。认识这些疾病的影像学表现对于做出正确诊断很重要。尽管某些影像学特征存在重叠,但了解特定表现以及临床表现有助于缩小鉴别诊断范围或做出影像学诊断。本图片综述将聚焦于全身性疾病的胃肠道表现,包括淀粉样变性、血管紧张素转换酶抑制剂诱发的血管性水肿、乳糜泻、远端肠梗阻综合征、移植物抗宿主病、溶血尿毒综合征、血友病、过敏性紫癜、肠淋巴管扩张症、肥大细胞增多症、硬皮病、系统性红斑狼疮、韦格纳肉芽肿病和惠普尔病。上述疾病可根据导致疾病的潜在过程进行细分。所讨论的疾病分为自身免疫性、浸润性、治疗相关性、先天性/遗传性和感染性病因。