• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.1155/2017/5716835
PMID:28638830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5468579/
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/7625/5468579/337d2ac01f99/BMRI2017-5716835.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/b5bcee250a56/BMRI2017-5716835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/23c1e170c559/BMRI2017-5716835.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/6c9e1b278d7b/BMRI2017-5716835.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/687b529e46cc/BMRI2017-5716835.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/5f0c6f894e28/BMRI2017-5716835.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/9c1f5ca0cdbb/BMRI2017-5716835.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/f7edaf177b8b/BMRI2017-5716835.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/6e239f770ce6/BMRI2017-5716835.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/337d2ac01f99/BMRI2017-5716835.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/b5bcee250a56/BMRI2017-5716835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/23c1e170c559/BMRI2017-5716835.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/6c9e1b278d7b/BMRI2017-5716835.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/687b529e46cc/BMRI2017-5716835.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/5f0c6f894e28/BMRI2017-5716835.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/9c1f5ca0cdbb/BMRI2017-5716835.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/f7edaf177b8b/BMRI2017-5716835.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/6e239f770ce6/BMRI2017-5716835.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7625/5468579/337d2ac01f99/BMRI2017-5716835.009.jpg

相似文献

1
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.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。
Biomed Res Int. 2017;2017:5716835. doi: 10.1155/2017/5716835. Epub 2017 May 30.
2
Pneumatosis cystoides intestinalis: an unusual cause of intestinal ischemia and pneumoperitoneum.肠壁囊样积气症:肠道缺血和气腹的罕见病因。
Int Surg. 2015 Feb;100(2):221-4. doi: 10.9738/INTSURG-D-13-00238.1.
3
[Giant diverticulum of the sigmoid].[乙状结肠巨大憩室]
J Can Assoc Radiol. 1980 Sep;31(3):168-70.
4
Clinical significance of pneumatosis intestinalis - correlation of MDCT-findings with treatment and outcome.肠壁积气的临床意义——多层螺旋CT表现与治疗及预后的相关性
Eur Radiol. 2017 Jan;27(1):70-79. doi: 10.1007/s00330-016-4348-9. Epub 2016 Apr 22.
5
[Atypical appearance of pneumatosis intestinalis at multidetector CT].[多层螺旋CT下肠壁积气的不典型表现]
Recenti Prog Med. 2012 Nov;103(11):542-5. doi: 10.1701/1166.12906.
6
Colo-colic intussusception associated with pneumatosis cystoides intestinalis.结肠-结肠套叠合并肠壁囊样积气症。
Pediatr Radiol. 1998 Jul;28(7):515-7. doi: 10.1007/s002470050399.
7
Education and imaging. Gastrointestinal: the role of multidetector computer tomography in diagnosis of pneumatosis cystoides intestinalis.教育与影像学。胃肠道:多层螺旋计算机断层扫描在小肠气囊肿诊断中的作用。
J Gastroenterol Hepatol. 2012 Jan;27(1):182. doi: 10.1111/j.1440-1746.2011.06952.x.
8
External anterior abdominal wall and pelvic hernias with emphasis on the key diagnostic features on MDCT.腹外前壁和盆腔疝,重点介绍 MDCT 的关键诊断特征。
Clin Radiol. 2013 Apr;68(4):388-96. doi: 10.1016/j.crad.2012.07.016. Epub 2012 Nov 6.
9
Pneumatosis cystoides intestinalis.肠壁囊样积气症
Rev Esp Enferm Dig. 2017 Jan;109(1):61.
10
Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease: a case report.慢性阻塞性肺疾病患者以气腹形式表现的肠壁囊样积气症:一例报告
J Med Case Rep. 2017 Feb 28;11(1):55. doi: 10.1186/s13256-017-1198-2.

引用本文的文献

1
A Phantom of the Large Bowel.一段大肠的影像
Cureus. 2019 Sep 24;11(9):e5738. doi: 10.7759/cureus.5738.
2
MDCT in acute ischaemic left colitis: a pictorial essay.MDCT 检查在急性缺血性左结肠炎中的应用:影像学研究。
Radiol Med. 2019 Feb;124(2):103-108. doi: 10.1007/s11547-018-0947-7. Epub 2018 Oct 27.
3
Double simultaneous intussusception caused by Meckel's diverticulum and intestinal duplication in a child.一名儿童因梅克尔憩室和肠重复畸形导致的双侧同时性肠套叠。

本文引用的文献

1
Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.成人上消化道异物取出术:欧洲胃肠内镜学会(ESGE)临床指南
Endoscopy. 2016 May;48(5):489-96. doi: 10.1055/s-0042-100456. Epub 2016 Feb 10.
2
Gallstone ileus, clinical presentation, diagnostic and treatment approach.胆结石性肠梗阻的临床表现、诊断及治疗方法。
World J Gastrointest Surg. 2016 Jan 27;8(1):65-76. doi: 10.4240/wjgs.v8.i1.65.
3
Giant colonic diverticulum: clinical presentation, diagnosis and treatment: systematic review of 166 cases.
J Int Med Res. 2018 Aug;46(8):3427-3434. doi: 10.1177/0300060518777337. Epub 2018 Jul 3.
4
Intussusception caused by an inverted colonic diverticulum: a case report.结肠憩室反转导致的肠套叠:一例报告
J Med Case Rep. 2018 Apr 27;12(1):114. doi: 10.1186/s13256-018-1652-9.
巨大结肠憩室:临床表现、诊断与治疗:166例病例的系统评价
World J Gastroenterol. 2015 Jan 7;21(1):360-8. doi: 10.3748/wjg.v21.i1.360.
4
ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI).美国胃肠病学会临床指南:结肠缺血(CI)的流行病学、危险因素、临床表现模式、诊断及管理
Am J Gastroenterol. 2015 Jan;110(1):18-44; quiz 45. doi: 10.1038/ajg.2014.395. Epub 2014 Dec 23.
5
Acute incarcerated external abdominal hernia.急性嵌顿性腹壁外疝。
Ann Transl Med. 2014 Nov;2(11):110. doi: 10.3978/j.issn.2305-5839.2014.11.05.
6
Bowel intussusceptions in adults: the role of imaging.成人肠套叠:影像学的作用。
Radiol Med. 2015 Jan;120(1):105-17. doi: 10.1007/s11547-014-0454-4. Epub 2014 Aug 13.
7
Incidental findings detected on abdomino-pelvic multidetector computed tomography performed in the acute setting.在急性情况下进行的腹部-盆腔多排螺旋 CT 检查中发现的偶然发现。
Am J Emerg Med. 2014 Jan;32(1):36-9. doi: 10.1016/j.ajem.2013.09.019.
8
[Recurrence after hernia surgery: complication or natural course?].[疝气手术后的复发:并发症还是自然病程?]
Chirurg. 2014 Feb;85(2):112-6. doi: 10.1007/s00104-013-2593-x.
9
Role of conventional radiology and MRi defecography of pelvic floor hernias.传统放射学及盆底疝的磁共振排粪造影的作用。
BMC Surg. 2013;13 Suppl 2(Suppl 2):S53. doi: 10.1186/1471-2482-13-S2-S53. Epub 2013 Oct 8.
10
Entero-colpo-defecography vs supine entero-MRI: which one is the best tool in the differentiation of enterocele, elytrocele and edrocele?肠-会阴直肠造影与仰卧位肠-MRI:在鉴别肠膨出、阴道直肠隔膨出和阴道前壁膨出方面,哪一种是最佳工具?
J Biol Regul Homeost Agents. 2013 Jul-Sep;27(3):861-8.