Multi-slice Spiral CT Diagnosis of Small Intestine Volvulus_West China Medical Journal

Authors：

WANG Na ,  PU Hong , ZHAO Yuan , CHEN Jiayuan , JIANG Jin.

Department of Radiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’ s Hospital, Chengdu, Sichuan 610072, P. R. China;

Corresponding author：

PU Hong, Email: wangna5549@sohu.com

Keywords：

小肠扭转; 诊断; 体层摄影术，X线计算机

DOI：

10.7507/1002-0179.20130383

Video：

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目的　探讨小肠扭转的CT影像学表现及多层螺旋CT的诊断价值。方法　回顾性分析2006年2月－2011年8月14例经手术证实肠扭转患者的临床及影像资料。结果　14例小肠扭转患者中有9例出现“U形征”，13例有肠管和血管的“漩涡征”，4例有“鸟喙征”，2例可见“靶环征”，1例可见空回肠“转位征”。结论　肠管及血管的“漩涡征”是诊断小肠扭转的特异性征象，“鸟喙征”、“靶环征”等其他CT征象为小肠扭转的正确诊断提供可靠依据。多层螺旋CT扫描及三维重组对小肠扭转的诊断具有重要价值。

Citation： WANG Na,PU Hong,ZHAO Yuan,CHEN Jiayuan,JIANG Jin.. Multi-slice Spiral CT Diagnosis of Small Intestine Volvulus. West China Medical Journal, 2013, 28(8): 1229-1231. doi: 10.7507/1002-0179.20130383 Copy

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11.	Gollub MJ,Yoon S, Smith LM et al. Does the CT whirl sigh really predict small bowel volvulus?: Experience in an oncologic population[J]. J Comput Assist Tomogr, 2006, 30(1): 25-32.
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1. 　Iannelli A, Fabiani P, Dahman M, et al. Small bowel volvlus resulting from a congenital band treated laparascopically[J]. Surg Endosc, 2002, 16(3): 538-541.
2. 　Delabrousse E, Destrumelle N, Brunelle S, et al. CT of small bowel obstruction in adults[J]. Abdom Imagine, 2003, 28(2): 257-266.
3. 　于刚, 刘彤, 王鹏志, 等. 肠扭转48例临床分析[J]. 天津医科大学学报, 2003, 9(4): 491-493.
4. 　王吉甫.胃肠外科学[M].北京: 人民卫生出版社, 2000: 529.
5. 　刘磊, 寇如刚, 杨可乐, 等. 16层螺旋CT肠系膜上动、静脉成像诊断小肠扭转的前瞻性研究[J].临床放射学杂志, 2007, 26(3): 274-277.
6. 　贺小平, 苗重昌.16层螺旋CT及后处理技术对小肠扭转早期诊断的价值探讨[J].医学理论与实践, 2009, 22(8): 894-897.
7. 　van der Straaten F, Hoedt MT. Diagnostic image (135). A woman with acute abdomen. Volvulus of the small bowel due to strangulation[J]. Ned Tijdschr Geneeskd, 2003, 147(16): 757-760.
8. 　Frank AJ, Goffner LB, Fruauff AA, et al. Cecal volvulus: the CT whirl sign[J]. Abdom Imaging, 1993, 18(3): 288-289.
9. 　Blake MP, Mendelson RM. The whirl sign: a non-specific finding of mesenteric rotation[J]. Australas Radiol, 1996, 40(2): 136-139.
10. 　Falk A, Mitty HA, FirestoneM, et al. Mesenteric angiography in the diagnosis of volvulus[J]. J Vasc Interv Radiol, 2000, 11(7): 869-874.
11. 　Gollub MJ,Yoon S, Smith LM et al. Does the CT whirl sigh really predict small bowel volvulus?: Experience in an oncologic population[J]. J Comput Assist Tomogr, 2006, 30(1): 25-32.
12. 　纪建松, 王祖飞, 徐兆龙, 等. 肠扭转的CT表现[J]. 中华放射学杂志, 2005, 39(11): 1185-1187.
13. 　Zalcman M, Sy M, Donckier V, et al. Helical CT sign in the diagnosis of intestinal ischemia in small bowel obstruction[J]. AJR, 2000, 175(6): 1601-1607.

West China Medical Journal

Multi-slice Spiral CT Diagnosis of Small Intestine Volvulus

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