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原发性肠淋巴管扩张症:临床及CT表现

Primary intestinal lymphangiectasia: clinical and CT findings.

作者信息

Fakhri A, Fishman E K, Jones B, Kuhajda F, Siegelman S S

出版信息

J Comput Assist Tomogr. 1985 Jul-Aug;9(4):767-70.

PMID:4019833
Abstract

We present two patients with biopsy proven primary intestinal lymphangiectasia in whom CT demonstrated diffuse nodular thickening of small bowel without adenopathy or hepatosplenomegaly. One patient had extensive ascites. Although the CT findings are not specific to lymphangiectasia, they may allow one to suggest the diagnosis in the patient with protein losing enteropathy and help distinguish it from inflammatory bowel disease, lymphoma, celiac disease, or Whipple disease.

摘要

我们报告了两名经活检证实为原发性小肠淋巴管扩张症的患者,其CT显示小肠弥漫性结节状增厚,无淋巴结肿大或肝脾肿大。其中一名患者有大量腹水。虽然CT表现并非淋巴管扩张症所特有,但对于患有蛋白丢失性肠病的患者,这些表现可能有助于提示诊断,并有助于将其与炎症性肠病、淋巴瘤、乳糜泻或惠普尔病相鉴别。

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1
Primary intestinal lymphangiectasia: clinical and CT findings.原发性肠淋巴管扩张症:临床及CT表现
J Comput Assist Tomogr. 1985 Jul-Aug;9(4):767-70.
2
The radiology corner. Segmental lymphangiectasia of the small bowel.放射学专栏。小肠节段性淋巴管扩张症。
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[A case of intestinal lymphangiectasia].[一例肠淋巴管扩张症]
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[Intestinal lymphangiectasis (report of a case)].[肠淋巴管扩张症(病例报告)]
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Lymphangiectasia of the colon and small intestine.结肠和小肠淋巴管扩张症。
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Lymphangiographic findings in Behçet's disease with lymphangiectasia of the small intestine.伴有小肠淋巴管扩张的白塞病的淋巴管造影表现。
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The CT halo sign: a new finding in intestinal lymphangiectasia.CT晕征:肠淋巴管扩张症的一项新发现。
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Failure of blind small bowel biopsy in the diagnosis of intestinal lymphangiectasia.盲法小肠活检在诊断肠淋巴管扩张症中的失败
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引用本文的文献

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Primary intestinal lymphangiectasia: French National Diagnosis and Care Protocol (PNDS; Protocole National de Diagnostic et de Soins).原发性肠淋巴管扩张症:法国国家诊断与治疗方案(PNDS;Protocole National de Diagnostic et de Soins)
Orphanet J Rare Dis. 2025 Jul 10;20(1):356. doi: 10.1186/s13023-025-03657-9.
2
Case report of primary intestinal lymphangiectasia diagnosed in an octogenarian by ileal intubation and by push enteroscopy after missed diagnosis by standard colonoscopy and EGD.一名八旬老人经回肠插管及推进式小肠镜检查确诊为原发性肠淋巴管扩张症的病例报告,此前标准结肠镜检查和上消化道内镜检查均漏诊。
Medicine (Baltimore). 2018 Jan;97(3):e9649. doi: 10.1097/MD.0000000000009649.
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Misty mesentery: a pictorial review of multidetector-row CT findings.
模糊肠系膜:多排螺旋 CT 表现的影像学综述。
Radiol Med. 2011 Apr;116(3):351-65. doi: 10.1007/s11547-010-0610-4. Epub 2010 Dec 3.
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Primary intestinal lymphangiectasia (Waldmann's disease).原发性肠淋巴管扩张症(瓦尔德曼病)。
Orphanet J Rare Dis. 2008 Feb 22;3:5. doi: 10.1186/1750-1172-3-5.
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Surgical resection of duodenal lymphangiectasia: a case report.十二指肠淋巴管扩张症的手术切除:一例报告
World J Gastroenterol. 2003 Dec;9(12):2880-2. doi: 10.3748/wjg.v9.i12.2880.
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Intestinal lymphangiectasia: evaluation by CT and scintigraphy.肠淋巴管扩张症:CT与闪烁扫描评估
Gastrointest Radiol. 1992 Spring;17(2):119-21. doi: 10.1007/BF01888524.