原发性腹茧症致小肠梗阻的CT表现及其误诊分析  

CT manifestations and analysis of misdiagnosis of small intestinal obstruction caused by primary abdominal cocoon one case report

作　　者：杨蕾[1] 张西岭[1] 相爱华[1] 李吉臣[1] 黑颖睿[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院CT室,山东临清252600

出　　处：《医学影像学杂志》2017年第8期1501-1503,共3页Journal of Medical Imaging

摘　　要：目的总结原发性腹茧症致小肠梗阻的CT表现,探讨其诊断及误诊分析。方法回顾性分析1例经手术证实的原发性腹茧症致小肠梗阻患者的CT及临床资料。结果原发性腹茧症致小肠梗阻CT表现为:1)平扫见局部小肠肠管扩张积气;2)增强扫描可见扩张的肠管周围纤维包膜增厚,肠管扭曲呈香蕉状,边缘光滑;其肠系膜牵拉、扭转,系膜血管分布异常;3)MPR见正常肠管包绕团状聚集的扩张肠管,并且二者之间脂肪间隙清晰;4)右侧阴囊空虚,右侧髂窝处见隐睾。结论原发性腹茧症致小肠梗阻有其基本影像特征,充分认识该病的CT特点及临床表现,可避免CT误诊。Objective To summarize the CT manifestations of small intestinal obstruction caused by primary abdominal co- coon, and to analyze the diagnosis and misdiagnosis. Methods The CT and clinical data of 1 patient with small intestinal ob- struction caused by primary abdominal cocoon were retrospectively analyzed. Results CT manifestations of misdiagnosis of small intestinal obstruction caused by primary abdominal cocoon were as follows ： 1 ） Plain scan of abdominal CT showed that there were local small intestinal dilatation and gas accumulation in abdominal region; 2） Enhanced scan showed that there were thickened fibrous capsules around the intestinal tube, intestinal distorted banana-like, Smooth edges; stretching and twisting mesentery with abnormal vessel distribution ; 3 ） MPR showed normal intestine around the cluster expansion of the intestine, and the gap between the fat clear; and 4）Right scrotal emptiness, cryptorchid was seen in the right iliac fossa. Conclusion Small intestinal obstruction caused by primary abdominal cocoon has its basic imaging features. Fully understanding the CT characteristics of the disease and clinical manifestations, CT misdiagnosis can be avoided.

关 键 词：腹茧症 肠梗阻 体层摄影术 X线计算机 

分 类 号：R656.7[医药卫生—外科学] R814.42[医药卫生—临床医学]