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中年女性阑尾肠套叠的 CT 诊断。

CT diagnosis of appendiceal intussusception in a middle-aged female.

机构信息

Department of Radiology, Aventura Hospital and Medical Center, Aventura, Fl, USA.

出版信息

J Radiol Case Rep. 2020 Jun 30;14(6):8-14. doi: 10.3941/jrcr.v14i6.3809. eCollection 2020 Jun.

DOI:10.3941/jrcr.v14i6.3809
PMID:33088412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7536001/
Abstract

Appendiceal intussusception is rare with an estimated incidence of 0.01%. Although it is infrequently encountered, the few documented cases of this entity have shown it may mimic or indicate an underlying neoplasm when evaluated with colonoscopy. With the abundant use of multi-detector CT and increased utility of CT colonography, awareness of the radiologic findings of this condition has become increasingly important. Appendiceal intussusception, while potentially pathologic in its own right, may mimic or even coexist with other pathologies, both malignant and benign. We present a case of adult appendiceal intussusception without a "lead point" that was successfully diagnosed by CT imaging.

摘要

阑尾肠套叠较为罕见,估计发病率为 0.01%。尽管它很少见,但已记录的少数此类病例表明,在进行结肠镜检查时,它可能会模拟或提示潜在的肿瘤。随着多探测器 CT 的广泛应用和 CT 结肠成像的增加,对这种疾病的放射学表现的认识变得越来越重要。阑尾肠套叠本身可能具有潜在的病理性,但可能会模拟甚至共存其他病理学,包括恶性和良性病变。我们提出了一个没有“先导点”的成人阑尾肠套叠的病例,该病例通过 CT 成像成功诊断。

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本文引用的文献

1
Mucinous appendiceal neoplasms: pathologic classification, clinical implications, imaging spectrum and mimics.黏液性阑尾肿瘤:病理分类、临床意义、影像表现及鉴别诊断。
Abdom Radiol (NY). 2018 Nov;43(11):2913-2922. doi: 10.1007/s00261-018-1561-9.
2
Appendix Invagination Mimicking Ileocecal Intussusception in a Pediatric Patient: A Case Report.小儿患者中模仿回盲部肠套叠的阑尾套叠:一例报告
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Transabdominal sonographic appearance of adult colonic polyps.成人结肠息肉的经腹超声表现。
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Adult intussusception caused by an appendiceal mucocele and reduced by colonoscopy.由阑尾黏液囊肿引起并通过结肠镜检查复位的成人肠套叠。
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Appendiceal intussusception masquerading as an ileocolic intussusception.阑尾肠套叠伪装为回结型肠套叠。
J Gastrointest Surg. 2012 May;16(5):1076-7. doi: 10.1007/s11605-012-1848-z. Epub 2012 Feb 28.
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Intussusception of the appendix secondary to mucinous cystadenoma: A rare cause of abdominal pain.黏液性囊腺瘤继发阑尾套叠:腹痛的罕见原因。
Int J Surg Case Rep. 2011;2(2):26-7. doi: 10.1016/j.ijscr.2010.11.004. Epub 2010 Dec 1.
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Colonoscopic findings in appendiceal intussusception in cystic fibrosis: a tubular cecal structure containing impacted luminal secretions.
Clin Gastroenterol Hepatol. 2010 Dec;8(12):A27-8. doi: 10.1016/j.cgh.2010.06.026. Epub 2010 Aug 14.
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Appendiceal inversion: a diagnostic and therapeutic dilemma.阑尾内翻:一种诊断和治疗上的困境。
JSLS. 2009 Jan-Mar;13(1):92-5.
10
Intussusception of the appendix: comprehensive review of the literature.阑尾套叠:文献综述
Am J Surg. 2009 Jul;198(1):122-8. doi: 10.1016/j.amjsurg.2008.08.023. Epub 2009 Feb 27.