Gordon R L, Evers K, Kressel H Y, Laufer I, Herlinger H, Thompson J J
AJR Am J Roentgenol. 1982 Mar;138(3):549-52. doi: 10.2214/ajr.138.3.549.
The radiographic findings on barium enema in 42 patients with endometriosis were reviewed and correlated with those at surgical and laparoscopic examination. Radiographic abnormalities were detected in 27 patients. In nine patients, purely extrinsic mass effect was identified; bowel wall involvement in these patients was not present at laparoscopy. In 16 of 18 patients subsequently shown to have bowel wall involvement, mass effect with fine mucosal crenulation was identified. Annular or polypoid involvement was also noted. Mass effect with crenulation, although not entirely specific, appears to be a characteristic finding in patients with bowel wall involvement due to endometriosis.
回顾了42例子宫内膜异位症患者的钡灌肠X线检查结果，并与手术和腹腔镜检查结果进行了对比。27例患者存在X线异常。9例患者表现为单纯的外在肿块效应；腹腔镜检查显示这些患者的肠壁未受累。在随后证实有肠壁受累的18例患者中，16例可见伴有细微黏膜皱缩的肿块效应。还发现有环形或息肉样受累。伴有皱缩的肿块效应虽然并非完全具有特异性，但似乎是子宫内膜异位症所致肠壁受累患者的特征性表现。
