腹茧症6例影像学表现

Imaging manifestations of abdominal cocoon:A report of 6 cases

目的 :提高对腹茧症影像学表现的认识。方法 :对 6例经手术病理证实为腹茧症的影像学资料进行回顾性分析。结果 :有 4例X线腹部平片显示不全性小肠梗阻。钡餐检查示小肠聚集重叠于脐周 (3例 )或偏向左中腹部 (1例 ) ,呈盘曲状 ,钡剂通过缓慢。 4例CT检查显示小肠扩张、积液 ,被一层膜状结构包裹 ,其中 3例肠管间可见膜状间隔。 2例B超检查显示小肠聚集 ,外见一层弱回声组织。结论 :腹茧症影像学表现具有一定的特征 ,密切结合临床 。

Objective:To make a further understanding of medical imaging manifestations of abdominal cocoon.Methods:The medical imaging appearances of 6 cases of abdominal cocoon confirmed by surgery and pathology were retrospectively studied.Results:X ray abdomen film showed incomplete obstruction of small bowel in 4 cases.Barium meal showed that the small bowel accumulated and overlaped around the navel(3 cases) or deflected to the middle left abdomen (1 cases);small bowel appeared voluminous and passed slowly.CT displayed that the small bowel expanded with a large amount of gas and fluid,and line septa could be found in 3 cases.Two cases examined by B ultrasound showed that the small bowel accumulated to group and there was weak echo tissue outside of it.Conclusions:There are some characteristic findings on medical imaging features of abdominal cocoon.It is possible to diagnose most of the cases on the basis of clinical information.