肠系膜下静脉向前上方移位：左十二指肠旁疝的一个新诊断线索？

Anterior and upward displacement of the inferior mesenteric vein:a new diagnostic clue to left paraduodenal hernias?

作者信息

Schaffler G J, Groell R, Kammerhuber F, Stacher R, Hammerl R, Rabl H, Hoess G, Szolar D H

机构信息

Department of Radiology, University of Graz Hospital and Karl Franzens Medical School, Auenbruggerplatz 9, A-8036 Graz, Austria.

出版信息

Abdom Imaging. 1999 Jan-Feb;24(1):29-31. doi: 10.1007/s002619900435.

DOI:10.1007/s002619900435

PMID:9933669

Abstract

A 26-year-old man with acute deterioration of recurrent abdominal pain was admitted to the hospital. Plain film (abdominal radiographs), spiral computed tomography (CT), and barium contrast studies were performed. A left paraduodenal hernia causing acute jejunal obstruction was identified on upper gastrointestinal barium studies and spiral CT. Pre- and postsurgery examinations were compared, and relevant radiological findings were identified. Spiral CT provided excellent visualization of the pathognomonic displacement of the inferior mesenteric vein.

摘要

一名26岁反复腹痛急性加重的男性入院。进行了腹部平片、螺旋计算机断层扫描（CT）和钡剂造影检查。上消化道钡剂造影和螺旋CT检查发现左侧十二指肠旁疝导致急性空肠梗阻。比较了手术前后的检查结果，并确定了相关的影像学表现。螺旋CT对肠系膜下静脉的特征性移位显示极佳。