Vitale Valerio, Di Serafino Marco, Mercogliano Carmela, Vallone Gianfranco
Department of Radiology, University Hospital "Federico II", Naples, Italy.
Department of Radiology, Santa Maria alla Gruccia Hospital, zona Valdarno, Azienda USL8, Arezzo, Italy.
J Ultrasound. 2014 Jul 10;19(1):53-5. doi: 10.1007/s40477-014-0091-8. eCollection 2016 Mar.
A 6-year-old boy with a history of diarrhea and rectal bleeding was referred to our department where he underwent ultrasound (US) examination for suspected inflammatory bowel disease. US showed the presence of an echoic oval mass measuring about 30 × 24 mm located at the transition between the transverse and descending colon. It moved with the peristaltic waves and was attached to the intestinal wall through a pedicle. Color Doppler showed intralesional blood flow. On the basis of these findings, the patient was suspected of having a colon polyp. This diagnosis was confirmed at subsequent colonoscopy. The mass was removed using a diathermy snare, and histologic examination revealed hamartomatous polyp measuring 32 mm.
一名有腹泻和直肠出血病史的6岁男孩被转诊至我科,因疑似炎症性肠病在我科接受了超声(US)检查。超声显示在横结肠和降结肠交界处有一个椭圆形回声团块,大小约为30×24mm。它随蠕动波移动,并通过一个蒂附着于肠壁。彩色多普勒显示病灶内有血流信号。基于这些发现,怀疑该患者患有结肠息肉。随后的结肠镜检查证实了这一诊断。使用高频电圈套器切除了肿物,组织学检查显示为错构瘤性息肉,大小为32mm。