Garg K, Lynch D A, Newell J D
Department of Radiology, University of Colorado Health Sciences Center, Denver.
J Thorac Imaging. 1993 Spring;8(2):159-63. doi: 10.1097/00005382-199321000-00010.
Inflammatory airways disease is an uncommon but recognized complication of ulcerative colitis (UC). The present study was undertaken to determine the computed tomographic (CT) and high-resolution CT appearances of this entity. A retrospective review was performed of the radiographs and CT scans of seven patients (ages 24 to 54 years) with UC who presented with cough and recurrent respiratory infections. Four patients had total colectomies, and one had sigmoid colectomy. Fiberoptic bronchoscopy in six subjects showed diffuse mucosal erythema and edema that was most severe in the proximal airways. Sinus radiographs revealed maxillary sinus mucosal thickening in four patients and ethmoid sinus involvement in two. Chest radiographs showed bronchiectasis in two patients and bronchial wall thickening in three; radiographs were normal in two patients. CT features included bronchiectasis in six patients, peripheral airways involvement in four, and airway stenosis in three.
炎症性气道疾病是溃疡性结肠炎（UC）一种罕见但已被认识的并发症。本研究旨在确定该疾病实体的计算机断层扫描（CT）和高分辨率CT表现。对7例（年龄24至54岁）患有UC且出现咳嗽和反复呼吸道感染的患者的X线片和CT扫描进行了回顾性分析。4例患者接受了全结肠切除术，1例接受了乙状结肠切除术。6例患者的纤维支气管镜检查显示弥漫性黏膜红斑和水肿，在近端气道最为严重。鼻窦X线片显示4例患者上颌窦黏膜增厚，2例筛窦受累。胸部X线片显示2例患者有支气管扩张，3例有支气管壁增厚；2例患者X线片正常。CT特征包括6例患者有支气管扩张，4例有外周气道受累，3例有气道狭窄。
