放射性阑尾炎：超声分级加压成像的表现

Radiation appendicitis: demonstration with graded compression US.

作者信息

Puylaert J B, Hoekstra F, de Vries B C, Rutgers P H, Lalisang R I, Ooms E C

出版信息

Radiology. 1987 Aug;164(2):342. doi: 10.1148/radiology.164.2.3299484.

DOI:10.1148/radiology.164.2.3299484

Abstract

In a patient who had received presurgical radiation therapy for extensive rectal carcinoma, ultrasonography with graded compression disclosed an inflamed appendix. The patient had no clinical signs of acute appendicitis. At laparotomy for resection of the rectal carcinoma, the appendix appeared grossly abnormal and was removed. Pathologic examination showed severe radiation enteritis of the appendix. The sonographic appearance of radiation appendicitis closely resembled that of acute appendicitis.

摘要

在一名因广泛性直肠癌接受术前放射治疗的患者中，采用分级压迫超声检查发现阑尾发炎。该患者没有急性阑尾炎的临床体征。在进行直肠癌切除的剖腹手术时，阑尾外观明显异常，遂将其切除。病理检查显示阑尾存在严重的放射性肠炎。放射性阑尾炎的超声表现与急性阑尾炎极为相似。