Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 601 N. Caroline St., JHOC 3235A, Baltimore, MD, 21287, USA.
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 601 N. Caroline St., JHOC 3251, Baltimore, MD, 21287, USA.
Abdom Radiol (NY). 2017 Jan;42(1):101-108. doi: 10.1007/s00261-016-0854-0.
Acute abdominal pain is a common indication for imaging. The stomach may be poorly assessed or overlooked on multidetector computed tomography (MDCT), despite the high prevalence of gastric pathology as the source of abdominal pain. We review the pathophysiology, imaging features, and clinical management of common and uncommon nonmalignant gastric conditions on MDCT. As the stomach is often difficult to assess on MDCT, and pathology overlooked, corresponding increased awareness of gastric causes of pain is critical for radiologists to accurately interpret imaging in the setting of acute abdominal pain.
急性腹痛是影像学检查的常见指征。尽管胃作为腹痛的来源,其病理学十分常见,但多排螺旋 CT(MDCT)对胃的评估可能欠佳或被忽视。我们回顾了 MDCT 上常见和不常见的非恶性胃疾病的病理生理学、影像学特征和临床处理。由于 MDCT 通常难以评估胃部,且病理学易被忽视,因此放射科医生需要高度认识到胃源性疼痛的原因,这对于准确解读急性腹痛的影像学表现至关重要。