腹茧症的影像学表现

Radiological findings of abdominal cocoon

目的探讨腹茧症的影像学表现,提高对腹茧症的认识和诊断水平。方法回顾性分析经手术病理证实的10例腹茧症患者的影像及临床资料。结果临床主要表现为肠梗阻症状,X线平片可表现为肠梗阻,消化道造影表现为小肠聚集成团,呈"菜花状"或"拧麻花状"改变,CT表现为盘曲成团的肠管被增厚的纤维膜包裹或分隔。结论腹茧症临床表现无特异性,影像学检查尤其是CT检查有一定的特异性表现,对于本病的诊断有重要意义。最后确诊需手术和病理证实。

Objective To investigate the imaging findings of abdominal cocoon in order to improve clinical diagnostic. Methods Ten cases of abdominal cocoon confirmed by surgery and pathologic findings were reviewed. Results Main clinical manifestation was a partial or complete intestinal obstruction. Abdominal plain X-ray showed evidence of small-bowel obstruction, with dilated bowel loops and multiple air-fluid levels. The typical feature of gastrointes- tinal barium meal was a conglomeration of multiple cauliflower-like bowel loops that appear to adhere to each other. CT images revealed a aggregation of multiple small bowel loops encased by a fibrous membrane. Conclusion The clinical manifestation of abdominal cocoon is nonspecific. It＇s radiological findings, especially the CT images are specific and helpful