MDCT features of strangulated ileus due to an appendix epiploica of the sigmoid colon: four cases and a review of the literature
| Autor: | Shunro Matsumoto, Yoshiko Sagara, Norimasa Kaneko, Norio Hongo, Masatoshi Oga, Hiromu Mori |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Ileus Urology Hilum (biology) Appendix 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Colon Sigmoid Appendix Epiploica Internal medicine Multidetector computed tomography medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Radiological and Ultrasound Technology business.industry Epiploic appendix Gastroenterology Sigmoid colon Hepatology medicine.disease digestive system diseases surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Female Radiology Differential diagnosis business Intestinal Obstruction |
| Zdroj: | Abdominal Radiology. 41:1722-1727 |
| ISSN: | 2366-0058 2366-004X |
| DOI: | 10.1007/s00261-016-0835-3 |
| Popis: | The aim of this study was to investigate the multidetector computed tomography (MDCT) features of strangulated ileus caused by epiploic appendix of the sigmoid colon. We retrospectively evaluated MDCT images of four patients who underwent surgery in our hospital between 2011 and 2014. Patients were aged from 66 to 79 years, and two were female. Closed loop obstruction of the small bowel was confirmed in all patients. A fatty peritoneal band around the orifice of the ileus was detected in two patients, but was equivocal in the other two patients. Traction of the sigmoid colon toward the hilum of the closed loop of the small bowel was obvious in three patients. When traction of the sigmoid colon is detected in MDCT in a case of closed loop obstruction of the small bowel, strangulated ileus caused by an epiploic appendix should be considered in the differential diagnosis. |
| Databáze: | OpenAIRE |
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