Raymond Scott B, Gee Michael S, Anupindi Sudha A, Shailam Randheer, Kaplan Jess L, Nimkin Katherine
*Department of Radiology†Department of Radiology, Division of Pediatric Radiology, Massachusetts General Hospital, Boston, MA‡Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA§Department of Pediatrics, Division of Pediatric Gastroenterology, MassGeneral Hospital for Children, Boston, MA.
J Pediatr Gastroenterol Nutr. 2016 Jul;63(1):e1-9. doi: 10.1097/MPG.0000000000001225.
Inflammatory bowel disease (IBD) is associated with a spectrum of extraintestinal manifestations (EIMs) affecting many organ systems. EIMs can occur in more than 40% of patients with IBD and are associated with significant morbidity. They occur at any time point in the course of disease, often during an active phase of bowel inflammation, but sometimes preceding bowel disease. Prompt recognition of EIMs enables timely and more effective therapy. Physicians who image patients with IBD should be aware of the myriad extraintestinal conditions that may be detected on imaging studies, both within and outside of the abdomen, as they may predate the diagnosis of IBD. Cross-sectional imaging of unusual conditions associated with IBD will be presented, including pathology in the hepatobiliary, pancreatic, genitourinary, musculoskeletal, mucocutaneous, vascular, neurologic, and pulmonary systems.
炎症性肠病（IBD）与一系列影响多个器官系统的肠外表现（EIMs）相关。EIMs可发生于超过40%的IBD患者中，并与显著的发病率相关。它们可在疾病过程中的任何时间点出现，常在肠道炎症的活动期，但有时也先于肠道疾病出现。及时识别EIMs可实现及时且更有效的治疗。为IBD患者进行成像检查的医生应了解在成像研究中可能检测到的无数肠外疾病，包括腹部内外的疾病，因为它们可能先于IBD的诊断出现。本文将介绍与IBD相关的特殊情况的横断面成像，包括肝胆、胰腺、泌尿生殖、肌肉骨骼、黏膜皮肤、血管、神经和肺部系统的病变。
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