Giannetti Andrea, Biscontri Marco, Matergi Marco, Stumpo Michela, Minacci Chiara
Gastroenterology Unit, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
Pathology Department, Misericordia Hospital, Via Senese 169, 58100 Grosseto, Italy.
J Ultrasound. 2016 Jun 29;19(3):231-7. doi: 10.1007/s40477-016-0212-7. eCollection 2016 Sep.
Contrast-enhanced ultrasonography (CEUS) and strain elastography (SE) are diagnostic imaging methods, which are still not routinely used in the clinical management of inflammatory bowel diseases. However, there are studies in the literature reporting on the use of both CEUS and SE in patients with bowel obstruction due to Crohn's disease, documenting the usefulness of these two methods in the differentiation between inflammation and fibrosis affecting the bowel wall. The aim of this case report is to evaluate the usefulness of CEUS and SE performed in a patient with Crohn's disease, who was admitted to hospital with bowel obstruction due to terminal ileal stricture and submitted to ileocecal resection. CEUS and SE identified and to some extent also characterized the inflammatory and fibrotic processes affecting the bowel wall. Macroscopic and microscopic examinations of the surgical specimen confirmed the presence of inflammatory phenomena (exudates, ulcers, and fistulas) and fibrosis as suggested by ultrasound (US) imaging methods.
对比增强超声（CEUS）和应变弹性成像（SE）是诊断成像方法，在炎症性肠病的临床管理中仍未常规使用。然而，文献中有研究报道了CEUS和SE在克罗恩病所致肠梗阻患者中的应用，证明了这两种方法在区分影响肠壁的炎症和纤维化方面的有用性。本病例报告的目的是评估在一名因回肠末端狭窄导致肠梗阻入院并接受回盲部切除术的克罗恩病患者中进行CEUS和SE的有用性。CEUS和SE识别并在一定程度上也表征了影响肠壁的炎症和纤维化过程。手术标本的宏观和微观检查证实了超声（US）成像方法所提示的炎症现象（渗出物、溃疡和瘘管）和纤维化的存在。
