Riccabona M, Rossipal E
Abteilung der Kinderradiologie, ZRI - Univ.-Klinik für Radiologie, LKH Graz.
Ultraschall Med. 1996 Feb;17(1):31-3. doi: 10.1055/s-2007-1000451.
To evaluate the potential benefits of sonographic assessment in the diagnostic work-up of children suspected of having coeliac disease.
39 infants with biopsy-proven coeliac disease were evaluated by sonographic assessment. Ten of them had presented with unusual clinical features such as acute abdomen and underwent sonography as the first diagnostic procedure.
Various sonographic anomalies were observed: abdominal fluid in 76%, hyperperistalsis in 82%, pericardial effusion in 47% and unusual appearance of the small bowel wall in 94%.
Although sonography cannot replace intestinal biopsy, awareness of the sonographic anomalies associated with coeliac disease in children can lead to a quicker diagnosis and prompt introduction of adequate therapy. It should be performed as a part of the diagnostic workup in infants who fail to thrive.
评估超声检查在疑似乳糜泻儿童诊断检查中的潜在益处。
对39例经活检证实为乳糜泻的婴儿进行超声检查评估。其中10例表现出如急腹症等不寻常临床特征，并将超声检查作为首个诊断程序。
观察到多种超声异常：76%有腹腔积液，82%有肠蠕动亢进，47%有心包积液，94%有小肠壁外观异常。
虽然超声检查不能替代肠道活检，但了解儿童乳糜泻相关的超声异常可实现更快诊断并及时开始适当治疗。对于发育不良的婴儿，应将其作为诊断检查的一部分进行。
