Ha H K, Lee H J, Yang S K, Ki W W, Yoon K H, Shin Y M, Jung H Y, Yu E, Lee S I, Kim K W, Auh Y H
Department of Diagnostic Radiology, Asan Medical Center, University of Ulsan College of Medicine, Songpa-Ku, Seoul, Korea.
Radiology. 1998 Nov;209(2):449-54. doi: 10.1148/radiology.209.2.9807572.
To analyze the computed tomographic (CT) features of intestinal Behçet syndrome and to determine the usefulness of CT in detecting complications.
The CT scans of 28 patients with intestinal Behçet syndrome were retrospectively reviewed. Five patients had bowel perforation, and two had peritonitis. Patterns of bowel involvement, patterns of contrast enhancement, and ancillary findings were compared in patients with complications (n = 7) and patients without complications (n = 21).
Ten patients had polypoid lesions, nine had a thickened bowel wall, and nine had both findings. Lesion enhancement was mild in eight patients (29%) and marked in 20 (71%). Polypoid lesions were more commonly seen in patients without complications (P = .020); a thickened bowel wall was more commonly seen in patients with complications (P = .030). Seventeen of 18 patients (94%) with minimal perienteric infiltration did not have complications (P = .0003), whereas all five patients with severe perienteric infiltration did have complications.
In patients with known intestinal Behçet syndrome, CT can be useful in determining the extent of the lesions and in identifying cases in which complications are likely to occur.
分析肠道白塞病的计算机断层扫描（CT）特征，并确定CT在检测并发症方面的效用。
回顾性分析28例肠道白塞病患者的CT扫描结果。5例患者发生肠穿孔，2例发生腹膜炎。比较有并发症的患者（n = 7）和无并发症的患者（n = 21）的肠受累模式、对比增强模式及其他相关表现。
10例患者有息肉样病变，9例肠壁增厚，9例兼有上述两种表现。8例患者（29%）病变强化程度较轻，20例（71%）强化明显。息肉样病变在无并发症的患者中更常见（P = 0.020）；肠壁增厚在有并发症的患者中更常见（P = 0.030）。18例肠周浸润轻微的患者中有17例（94%）无并发症（P = 0.0003），而所有5例肠周浸润严重的患者均有并发症。
对于已知患有肠道白塞病的患者，CT有助于确定病变范围并识别可能发生并发症的病例。
