Chong V F, Heng A
Department of Diagnostic Radiology, Singapore General Hospital.
Clin Radiol. 1995 Jun;50(6):418-9. doi: 10.1016/s0009-9260(05)83144-7.
Right-sided colonic diverticulosis, though unusual in the Western population, is common in the Orient. Calcified stones are rarely found within colonic diverticula. Standard textbooks of diagnostic radiology do not list calcified stones within caecal or ascending colonic diverticula as possible causes of calcification in the right hypochondrium or right iliac fossa. We present a patient with multiple laminated right-sided diverticular concretions mimicking gallstones. This possibility should be included in the differential diagnosis of gallstones or calcifications on the right side of the abdomen.
右侧结肠憩室病在西方人群中虽不常见,但在东方却很普遍。结肠憩室内很少发现钙化结石。诊断放射学的标准教科书并未将盲肠或升结肠憩室内的钙化结石列为右季肋区或右髂窝钙化的可能原因。我们报告一例患者,其右侧有多个分层的憩室结石,酷似胆结石。在鉴别诊断腹部右侧的胆结石或钙化时应考虑到这种可能性。