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CT诊断胆石性肠梗阻1例 被引量:4

CT diagnosis of gallstone ileus : Case report
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摘要 患者男,52岁,7天前无明显诱因停止排气、排便,伴阵发性腹痛、腹胀,偶有呕吐,以"肠梗阻"收入院。体格检查:腹部膨隆,脐周压痛。腹部超声:胆囊5.5cm×1.8cm,壁欠光滑,其内充满强回声光团,后方伴声影;肠管管腔增宽,最宽处内径3.3cm,内容物往返蠕动(图1)。提示胆囊结石(充满型)、肠管扩张。给予保守治疗6天,无明显好转。CT平扫示胆囊、肝外胆管扩张积气,胆囊壁增厚、毛糙,与胃窦及十二指肠分界不清,
出处 《中国医学影像技术》 CSCD 北大核心 2012年第7期1306-1306,共1页 Chinese Journal of Medical Imaging Technology
关键词 胆石 肠梗阻 Gallstones Intestinal obstruction
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  • 1张斌,王群伟,潘凯华,高玮.胆囊十二指肠瘘临床分析[J].中国内镜杂志,2007,13(7):714-717. 被引量:14
  • 2Nakao A, Okamoto Y, Sunami M, et al. The oldest patient with gallstone ileus: Report of a case and review of 176 cases in Japan. Kurume Med J, 2008,55(1-2) :29-33.
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  • 5Qalbani A, Paushter D, Dachman AH. Multidetector row CT of small bowel obstruction. Radiol Clin North Am, 2007, 45 (3): 499-512.
  • 6Lassandro F, Romano S, Ragozzino A, et al. Role of helical CT in diagnosis of gallstone ileus and related conditions. AJR Am J Roentgenol, 2005,185(5) :1159-1165.
  • 7Ravikumar R, Williams JG. The operative management of gall- stone ileus. Ann R Coll Surg Engl, 2010, 92(4):279-281.
  • 8Beuran M, Ivanov I, Venter MD. Gallstone ileus-clinical and therapeutic aspects. J Med Life, 2010,3(4):365-371.
  • 9Ripoll6s T, Miguel-Dasit A, Errando J, et al. Gallstone ileus: Increased diagnostic sensitivity by combining plain film and uI trasound. Abdom Imaging, 2001,26(4):401-405.
  • 10Jaffe TA, Nelson RC, Johnson GA, et al. Optimization of mul- tiplanar reformations from isotropic data sets acquired with 16- detector row helical CT scanner. Radiology, 2006,238 (1) :292- 299.

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