The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value_West China Medical Journal

Authors：

 LiZhongquan ¹ , LiPing ² , JingJigang ³ ,  ZhuangHua ³

1. Department of Ultrasonography, Meishan Traditional Chinese Medicine Hospital, Meishan, Sichuan 620010, P. R. China;
2. Department of Gynecology and Obstetrics, Meishan Chinese Railway Hospital, Meishan, Sichuan 620010, P. R. China;
3. Department of Ultrasonography, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZhuangHua, Email: 55131340@qq.com

Keywords：

Sonographic diagnosis; Right lower abdomen; Bowel wall thickening

DOI：

10.7507/1002-0179.201600137

Video：

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Objective To evaluate the value of ultrasound in the differential diagnosis of thickened bowel wall at the lower quadrant of abdomen. Methods The ultrasonic and clinical data of 416 cases of bowel wall thickening at the lower quadrant of abdomen were retrospectively analyzed between January 2009 and April 2013 in Meishan Traditional Chinese Medicine Hospital, Meishan Chinese Railway Hospital and West China Hospital of Sichuan University. The diseases included appendicitis, periappendiceal abscess, Meckel's diverticulum, intestinal duplication, Crohn's disease and intestinal tuberculosis. Misdiagnoses were also analyzed. Results Among the 416 patients, there were 304 cases of inflammation, 90 of tumors, and 22 of congenital diseases. On ultrasound images, they manifested as cystic mass in 19 cases, mixed solid and cystic mass in 77 cases, and solid mass in 320 cases. Of all the cases, there were 56 cases of diffused changes, 54 of multiple-segment changes, and 306 of focal changes. Conclusion Ultrasound is a valuable diagnostic imaging tool in the differential diagnosis of bowel thickening diseases at the lower quadrant of abdomen.

Citation： LiZhongquan, LiPing, JingJigang, ZhuangHua. The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value. West China Medical Journal, 2016, 31(3): 519-522. doi: 10.7507/1002-0179.201600137 Copy

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1. Portnoi LM. Some problems of radiation diagnosis of colon cancer[J]. Vestn Rentgenol Radiol, 2004(2):20-33.
2. 段星星, 李皓, 何靜波, 等. 經腹超聲對兒童結腸壁增厚性疾病的診斷價值[J]. 中國超聲醫學雜志, 2015, 31(4):332.
3. 黃曉民, 葉晶晶, 強劍穎, 等. 超聲診斷急性闌尾炎145例分析[J]. 中國誤診學雜志, 2010, 10(4):895-896.
4. 曹根海, 王金銳. 實用腹部超聲診斷學[M]. 北京:人民衛生出版社, 2003:417.
5. 溫宗炬, 謝宏偉, 蔣冬軼. 超聲診斷急性闌尾炎40例[J]. 西部醫學, 2007, 19(2):283-284.
6. 李世櫻, 何慶蘭, 廖曉紅, 等. 聯合高頻及低頻超聲技術診斷闌尾炎的臨床價值[J]. 中國現代醫生, 2015, 53(23):115-117.
7. 余俊麗, 劉廣健, 文艷玲, 等. 超聲檢查對不同病理類型闌尾炎的診斷價值[J]. 中華超聲醫學雜志:電子版, 2015, 12(6):471.
8. 謝靈. 聯合高頻-低頻彩色多普勒診斷急性闌尾炎的臨床體會[J]. 中外女性健康研究, 2015(2):206.
9. 王碩, 陳蘇寧, 吳劍, 等. 超聲對糞石性闌尾炎的診斷價值及臨床意義[J]. 上海醫學影像, 2009, 18(1):41-43.
10. 郭馳波, 白建平, 秦大偉, 等. 回盲部包塊32例診治經驗與教訓[J]. 臨床軍醫雜志, 2008, 36(1):55-56.
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13. 王彬, 陳敏華. Crohn's病的超聲表現與診斷[J]. 中華醫學雜志, 1993(73):482-483.
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19. 辛悅, 賈立群, 王曉曼. 兒童繼發性腸套疊的超聲表現[J]. 中華醫學超聲雜志:電子版, 2011, 8(5):1106-1115.
20. 覃伶伶, 符少清, 劉秉彥, 等. 卵黃囊發育異常的超聲診斷價值[J]. 中國超聲醫學雜志, 2012, 28(5):458-461.

West China Medical Journal

The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value

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