Underdiagnosed Distal Colonic Volvuli on MDCT Imaging  

作　　者：Mitesh Kumar Siddharth Saravanan Vijayakumar Bhawna Dev 

机构地区：[1]Dept of Radiology, Sri Ramachandra Medical College and Hospital, Chennai, India

出　　处：《Surgical Science》2014年第3期105-116,共12页外科学（英文）

摘　　要：Volvuli affecting the distal colon, specifically the splenic flexure onwards is underdiagnosed pathologies with non-specific clinical features. Delay in diagnosing these pathologies can lead to significant morbidity and mortality in terms of ischemia and perforation of bowel. Multi detector computed tomography (MDCT) with intravenous contrast is an accurate and reliable imaging modality allowing prompt diagnosis and management. We present an overview of the radiological features found in acute presentations of different types of colonic volvuli.Volvuli affecting the distal colon, specifically the splenic flexure onwards is underdiagnosed pathologies with non-specific clinical features. Delay in diagnosing these pathologies can lead to significant morbidity and mortality in terms of ischemia and perforation of bowel. Multi detector computed tomography (MDCT) with intravenous contrast is an accurate and reliable imaging modality allowing prompt diagnosis and management. We present an overview of the radiological features found in acute presentations of different types of colonic volvuli.

关 键 词：SPLENIC Flexure VOLVULUS Ileosigmoid KNOT SIGMOID COLON Multi Detector COMPUTED Tomography 

分 类 号：R73[医药卫生—肿瘤]