肠壁囊样积气症的多层螺旋CT表现及其诊断价值

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (945 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the MSCT characteristics of patients with pneumatosis cystoides intestinalis (PCI) in order to advance our understanding of the disease.Methods The clinical and MSCT examination data of 21 patients with PCI admitted to Beijing Shijingshan Hospital between January 2008 and January 2020 was analyzed retrospectively,while the imaging features of MSCT,experience and lessons from clinical diagnosis were summarized.Results Among the 21 cases of PCI,there was abdominal distension discomfort,intermittent dull pain and spontaneous relief in 7 cases,nausea and vomiting in 2 cases,stop of defecation and exhaust in 8 cases,and abdominal pain after colonoscopy and lithotripsy in 2 cases.The lesions were located in small intestines in 5 cases,in the ascending colon and cecum in 4 cases,in the ascending colon and transverse colon in 3 cases,in the transverse colon in 2 cases,in the sigmoid colon in 7 cases.PCI was accompanied by free abdominal gas in 13 cases,and by superior mesenteric vein,spleen vein and portal vein pneumatosis in 1 case.MSCT showed single empty bubbles and multiple “clustered”“beaded”“annular” and “banded” low density gas shadows along the intestinal curved contour submucosa and/or subserosal.Intestinal contents were located in the center of the intestine,and partial signs of intestinal wall stratification were found.Multiple spot and flaky gas shadows were observed in the fat space of the abdomen of patients with free gas.Of the 21 cases,7 cases were definitely diagnosed by MSCT and were cured with conservative non-surgical treatment.Conclusions PCI has some specific features in the examination of MSCT.The combination of multiplanar reconstruction (MPR) with window-width and window-position technique can facilitate diagnosis and show conditions of the surrounding tissues,providing important clues for clinical treatment.

Key words： pneumatosis cystoides intestinalis pneumatosis intestinalis spiral CT pneumoperitoneum

Received: 10 June 2020

ZTFLH:	R816.5
	R574

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2020/V31/I11/969

[1]	陈柿妗,乐美兆.乙状结肠肠壁囊样积气症合并肠梗阻1例[J].临床与病理杂志,2017,37(12):2739-2742.
[2]	程明斌,张郡.多层螺旋CT诊断阑尾囊性病变24例临床观察[J].中国临床医生杂志,2016,44(12):77-79.
[3]	童瑞,秦颖,秦蕾,等.结肠气囊肿症20例临床分析[J].解放军医学杂志,2016,41(2):130-135.
[4]	Raghunathan V,Louis D,Wirk B.Gastrointestinal tract amyloidosis presenting with pneumatosis intestinalis[J].J Clin Med Res,2017,9(7):654-658.
[5]	周庆.结肠气囊肿症合并乙状结肠扭转1例报告[J].中国实用外科杂志,2015,35(6):687-688.
[6]	刘焱,蒋黎,张林川,等.肠道气囊肿症的多层螺旋CT影像学特征分析[J].中华胃肠外科杂志,2016,19(10):1188-1190.
[7]	陈志芬,孙萌.肠气囊肿病[J].医学新知杂志,2015,25(2):80-82.
[8]	汪京伟,谭雄木,杜海豪. CT 诊断肠壁囊样积气症 1 例[J].影像研究与医学应用,2019,3(14):197-198.
[9]	Liu T,Zhang S,Mao H.Gastrointestinal malignant neoplasms disguised as pneumatosis cystoids intestinalis:a case report and literature review [J].Medicine (Baltimore),2017,96(51):e9410.
[10]	Beetz O,Kleine M,Vondran F W R,et al.A case of recurrent pneumoperitoneum and pneumatosis intestinalis after bilateral lung transplant [J].Exp Clin Transplant,2019,17(1):124-127.
[11]	王礼同,薛贞龙,王苇.结肠气囊肿症MSCT征象[J].中国医学影像技术,2018,34(10):1519-1522.
[12]	Takahashi K,Fujiya M,Ueno N,et al.Endoscopic fine-needle aspiration is useful for the treatment of pneumatosis cystoides intestinalis with intussusception[J].Am J Gastroenterol,2019,114(1):13.
[13]	陈颖瑜,潘爱珍,雍昉,等.多层螺旋CT双期扫描对缺血性肠病的诊断价值[J].实用医学杂志,2015,31(10):1682-1685.
[14]	胡辉歌,陈靖,薛鲜敏,等.合并黏膜固有层出血的肠壁囊样积气[J].中华消化杂志,2017,37(9):633-636.
[15]	曹友红,吕翔,王福根,等.结肠气囊肿症13例诊治分析[J].现代消化及介入诊疗,2016,21(4):628-630.
[16]	吴利敏,林李淼,夏宣平,等.肠气囊肿症1例报告[J].中国内镜杂志,2017,23(10):109-110.