Shinomiya Ryo, Inoue Naonori, Kawamura Takuji, Uno Koji
Department of Gastroenterology Kyoto Second Red Cross Hospital Kyoto Japan.
Clin Case Rep. 2023 Oct 19;11(10):e8086. doi: 10.1002/ccr3.8086. eCollection 2023 Oct.
Acute pancreatitis can present with a colon cutoff sign. The colon cutoff sign can also occur in gastric cancer, splenic artery bleeding, and ruptured abdominal aortic aneurysm. A CT scout image can also be an important laboratory finding for diagnosing a disease.
A 22-year-old woman visited our hospital with a complaint of epigastric pain. An abdominal contrast-enhanced computed tomography (CT) scan revealed that intestinal gas was interrupted at the splenic flexure on the CT scout image (colon cutoff sign). Scan images showed a poorly contrasted area in the pancreatic tail. Based on these results, the patient was diagnosed with acute pancreatitis. The colon cutoff sign is an image showing the spread of inflammation to the colon. A CT scout image can also be an important laboratory finding for diagnosing a disease.
急性胰腺炎可表现为结肠切断征。结肠切断征也可见于胃癌、脾动脉出血和腹主动脉瘤破裂。CT定位像对于疾病诊断也可能是一项重要的影像学表现。
一名22岁女性因上腹部疼痛前来我院就诊。腹部增强计算机断层扫描（CT）显示，CT定位像上脾曲处肠气中断（结肠切断征）。扫描图像显示胰尾有一个强化不佳的区域。基于这些结果，该患者被诊断为急性胰腺炎。结肠切断征是炎症蔓延至结肠的一种影像表现。CT定位像对于疾病诊断也可能是一项重要的影像学表现。
