Jeffrey R B
AJR Am J Roentgenol. 1980 Aug;135(2):323-6. doi: 10.2214/ajr.135.2.323.
The CT findings in eight proven cases of peritoneal implants are presented. The most common CT appearance is a nodular soft-tissue density of 1.5--3.5 cm along the lateral aspect of the liver and often adjacent to an area of ascites. This was found in four patients. Other sites of implantation included the anterior and lateral peritoneal surface of the mid and lower abdomen. Single implants were identified in five patients and multiple implants in three. The detection of peritoneal implants is of considerable clinical value, and in three patients the implants were the only evidence of metastatic seeding other than ascites. The relation of implants to intraperitoneal fluid dynamics and problematic areas of scanning technique are discussed.
本文呈现了8例经证实的腹膜种植病例的CT检查结果。最常见的CT表现是沿肝脏外侧缘出现1.5至3.5厘米的结节状软组织密度影，且常毗邻腹水区域。4例患者出现这种情况。其他种植部位包括中下腹部的前腹膜和侧腹膜表面。5例患者为单个种植灶，3例为多个种植灶。腹膜种植灶的检测具有重要的临床价值，3例患者中，种植灶是除腹水外转移播散的唯一证据。本文还讨论了种植灶与腹膜内液体动力学的关系以及扫描技术中存在问题的方面。
