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腹部疝、巨大结肠憩室、GIST、肠气肿、结肠缺血、冷肠套叠、胆石性肠梗阻和异物:我们对偶然发现的胃肠道 MDCT 表现的经验和文献复习。

Abdominal Hernias, Giant Colon Diverticulum, GIST, Intestinal Pneumatosis, Colon Ischemia, Cold Intussusception, Gallstone Ileus, and Foreign Bodies: Our Experience and Literature Review of Incidental Gastrointestinal MDCT Findings.

机构信息

Radiology Department, Sea Hospital, Naples, Italy.

Radiology Department, University of Campania Luigi Vanvitelli, Naples, Italy.

出版信息

Biomed Res Int. 2017;2017:5716835. doi: 10.1155/2017/5716835. Epub 2017 May 30.

Abstract

Incidental gastrointestinal findings are commonly detected on MDCT exams performed for various medical indications. This review describes the radiological MDCT spectrum of appearances already present in the past literature and in today's experience of several gastrointestinal acute conditions such as abdominal hernia, giant colon diverticulum, GIST, intestinal pneumatosis, colon ischemia, cold intussusception, gallstone ileus, and foreign bodies which can require medical and surgical intervention or clinical follow-up. The clinical presentation of this illness is frequently nonspecific: abdominal pain, distension, nausea, fever, rectal bleeding, vomiting, constipation, or a palpable mass, depending on the disease. A proper differential diagnosis is essential in the assessment of treatment and in this case MDCT exam plays a central rule. We wish that this article will familiarize the radiologist in the diagnosis of this kind of incidental MDCT findings for better orientation of the therapy.

摘要

在因各种医学指征而进行的 MDCT 检查中,常可偶然发现胃肠道异常。本综述描述了过去文献中已有的以及目前在多种胃肠道急症中的放射 MDCT 表现,例如腹疝、巨结肠憩室、GIST、肠积气、结肠缺血、冷肠套叠、胆石性肠梗阻和需要医疗和手术干预或临床随访的异物。该病的临床表现通常是非特异性的:根据疾病的不同,可有腹痛、腹胀、恶心、发热、直肠出血、呕吐、便秘或可触及的肿块。在评估治疗时,进行适当的鉴别诊断至关重要,在这种情况下,MDCT 检查起着核心作用。我们希望本文能使放射科医生熟悉这种偶然 MDCT 发现的诊断,以便更好地指导治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/b5bcee250a56/BMRI2017-5716835.001.jpg

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