Jones B, Fishman E K, Bayless T M, Siegelman S S
J Comput Assist Tomogr. 1983 Apr;7(2):334-7.
Mucosal thickening in the small bowel was seen on computed tomography (CT) in a patient with a pancreatic glucagonoma. A small bowel series demonstrated multiple fine filling defects throughout both jejunum and ileum associated with moderate fold thickening and prolonged transit time. Villous hypertrophy was indeed identified in a resected segment of jejunum. Elevated blood levels of enteroglucagon have previously been associated with small intestinal villous hypertrophy. Careful scrutiny of the bowel pattern on CT scans may suggest abnormalities which may then be confirmed by conventional barium studies. Such observations may change the evaluation of a clinical problem.
在一名患有胰腺高血糖素瘤的患者中，计算机断层扫描（CT）显示小肠黏膜增厚。小肠造影显示空肠和回肠均有多个细小充盈缺损，伴有中度皱襞增厚和通过时间延长。在切除的空肠段确实发现了绒毛肥大。此前已发现肠高血糖素水平升高与小肠绒毛肥大有关。仔细检查CT扫描上的肠道形态可能提示异常，随后可通过传统钡剂检查加以证实。此类观察结果可能会改变对临床问题的评估。
