Mowji P J, Jones M D, Cohen A J
Department of Radiological Sciences, University of California, Irvine, Medical Center, Orange 92668.
Gastrointest Radiol. 1989 Spring;14(2):173-5. doi: 10.1007/BF01889188.
A focal dilatation of a loop of small bowel has been identified in the left upper quadrant in a series of individuals with suspected appendicitis. Retrospective review of 100 cases of surgically proven appendicitis demonstrated this sign in 51. No previous description of this sign has been found. This finding is believed to be an early sign of appendicitis and may be a valuable adjunct in combination with a clinical history without other radiologic signs of appendicitis. The more conventional signs of appendicitis such as appendicolith and focal ileus of the terminal ileum reinforce the diagnosis.
在一系列疑似阑尾炎的患者中，左上腹发现了一小段小肠的局限性扩张。对100例经手术证实为阑尾炎的病例进行回顾性研究发现，其中51例出现了这一征象。此前尚未发现对该征象的描述。这一发现被认为是阑尾炎的早期征象，在结合无其他阑尾炎放射学征象的临床病史时，可能是一项有价值的辅助诊断依据。阑尾炎的更常见征象，如阑尾粪石和回肠末端局限性肠梗阻，则可强化诊断。
