Pringot J, Goncette L, Gilbeau J P, Bodart P
Acta Chir Belg. 1978 Apr;77(2):115-21.
We describe our observations on abdominal roentgenograms without preparation in two cases of segmental colon infarct and eighteen cases of ischemic colitis. In both infarct cases a colic ileus was noted. In one patient the infarcted loop appeared as gas contrasted. In the ischemic cases there were, in addition to the bowel ileus: a colectasis in two patients, a collapsed segment in thirteen and a gas-filled segment in three. When associated to a significant clinical situation the two latter images have some diagnostic value. In the majority of patients, the contrast enema made possible a diagnosis of ischemic colitis; in three it shaved the sigmoid narrowing responsible for the ischemia.
我们描述了在两例节段性结肠梗死和18例缺血性结肠炎患者中未做准备情况下腹部X线平片的观察结果。在两例梗死病例中均发现有绞痛性肠梗阻。其中一例患者梗死肠袢呈气体造影表现。在缺血性病例中，除肠梗阻外：两例患者有结肠扩张，13例有肠段塌陷，3例有肠段积气。当与明显的临床情况相关时，后两种影像有一定诊断价值。在大多数患者中，钡剂灌肠有助于诊断缺血性结肠炎；3例患者中钡剂灌肠显示出导致缺血的乙状结肠狭窄。
