肠脂垂炎的CT诊断(附2例报道并文献复习)

CT diagnosis of epiploic appendagitis(report of 2 cases and literatiure review)

目的通过对肠脂垂炎患者的CT检查分析,了解其CT影像学表现,评估CT诊断价值,提高诊断符合率。方法对两例具有完整CT扫描资料并临床证实的肠脂垂炎病例进行回顾性的分析,2例均行平扫及增强扫描。结果 2例病灶均位于结肠壁旁,呈环形或环形条带状,边缘模糊,其内含脂肪密度,邻近肠壁及腹膜局限性增厚,为肠脂垂炎CT表现。结论肠脂垂炎有较典型的影像学表现,CT检查可以较明确的诊断。

Objective To evaluate CT diagnosis value and improve raise corresponding diagnose accordance rate by analyzing CT images of epiploic appendagitis. Methods The CT images of 2 patients clinically proven with epiploic appendagitis were analyzed retrospectively. Plain and contrast CT scan were performed in both cases. Results 2 lesions are located near the colon wall, with ring-shaped, fuzzy edge, containing fat density. The intestinal wall and peritoneum are thickening. Conclusion Epiploic appendagitis has characteristic features in CT appearance allowing accurate diagnosis.