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：

小腸扭轉; 診斷; 體層攝影術，X線計算機

DOI：

10.7507/1002-0179.20130383

Video：

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目的　探討小腸扭轉的CT影像學表現及多層螺旋CT的診斷價值。方法　回顧性分析2006年2月－2011年8月14例經手術證實腸扭轉患者的臨床及影像資料。結果　14例小腸扭轉患者中有9例出現“U形征”，13例有腸管和血管的“漩渦征”，4例有“鳥喙征”，2例可見“靶環征”，1例可見空回腸“轉位征”。結論　腸管及血管的“漩渦征”是診斷小腸扭轉的特異性征象，“鳥喙征”、“靶環征”等其他CT征象為小腸扭轉的正確診斷提供可靠依據。多層螺旋CT掃描及三維重組對小腸扭轉的診斷具有重要價值。

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

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.	于剛, 劉彤, 王鵬志, 等. 腸扭轉48例臨床分析[J]. 天津醫科大學學報, 2003, 9(4): 491-493.
4.	王吉甫.胃腸外科學[M].北京: 人民衛生出版社, 2000: 529.
5.	劉磊, 寇如剛, 楊可樂, 等. 16層螺旋CT腸系膜上動、靜脈成像診斷小腸扭轉的前瞻性研究[J].臨床放射學雜志, 2007, 26(3): 274-277.
6.	賀小平, 苗重昌.16層螺旋CT及后處理技術對小腸扭轉早期診斷的價值探討[J].醫學理論與實踐, 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.	紀建松, 王祖飛, 徐兆龍, 等. 腸扭轉的CT表現[J]. 中華放射學雜志, 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.

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. 　于剛, 劉彤, 王鵬志, 等. 腸扭轉48例臨床分析[J]. 天津醫科大學學報, 2003, 9(4): 491-493.
4. 　王吉甫.胃腸外科學[M].北京: 人民衛生出版社, 2000: 529.
5. 　劉磊, 寇如剛, 楊可樂, 等. 16層螺旋CT腸系膜上動、靜脈成像診斷小腸扭轉的前瞻性研究[J].臨床放射學雜志, 2007, 26(3): 274-277.
6. 　賀小平, 苗重昌.16層螺旋CT及后處理技術對小腸扭轉早期診斷的價值探討[J].醫學理論與實踐, 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. 　紀建松, 王祖飛, 徐兆龍, 等. 腸扭轉的CT表現[J]. 中華放射學雜志, 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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