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放射科医生应了解的关于结肠急性憩室炎的断层扫描评估内容。

What radiologists should know about tomographic evaluation of acute diverticulitis of the colon.

作者信息

Naves Aline de Araújo, D'Ippolito Giuseppe, Souza Luis Ronan Marquez Ferreira, Borges Sílvia Portela, Fernandes Glênio Moraes

机构信息

Full Member of the Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR), Specialist Student at the Center for Imaging Sciences and Medical Physics of the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brazil.

Tenured Professor in the Department of Diagnostic Imaging of the Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM/Unifesp), São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2017 Mar-Apr;50(2):126-131. doi: 10.1590/0100-3984.2015.0227.

Abstract

Acute diverticulitis of the colon is a common indication for computed tomography, and its diagnosis and complications are essential to determining the proper treatment and establishing the prognosis. The adaptation of the surgical classification for computed tomography has allowed the extent of intestinal inflammation to be established, the computed tomography findings correlating with the indication for treatment. In addition, computed tomography has proven able to distinguish among the main differential diagnoses of diverticulitis. This pictorial essay aims to present the computed tomography technique, main radiological signs, major complications, and differential diagnoses, as well as to review the classification of acute diverticulitis.

摘要

结肠急性憩室炎是计算机断层扫描(CT)的常见适应证,其诊断和并发症对于确定恰当的治疗方法和判断预后至关重要。外科分类法在CT中的应用有助于明确肠道炎症的范围,CT表现与治疗指征相关。此外,CT已被证明能够区分憩室炎的主要鉴别诊断。本文旨在介绍CT技术、主要影像学表现、主要并发症、鉴别诊断,并回顾急性憩室炎的分类。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a51/5397004/9209aab9b7c6/rb-50-02-0126-g01.jpg

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