MSCT在原发性肠脂垂炎的临床诊断价值

目的:探讨原发性肠脂垂炎(PEA)的影像学特点及诊断价值。方法:回顾性分析3例不同部位PEA患者的临床、影像资料。结合文献讨论其影像学特点。结果:3例PEA中,1例位于乙状结肠旁,1例位于回盲部,1例位于升结肠旁,3例CT平扫表现为结肠旁卵圆形脂肪密度病灶,边缘见环形高密度影,病灶中央见点、线状高密度。消炎治疗效果明显,避免了手术干预。结论:PEA的CT表现具有一定的特征性,CT检查对本病的诊断及鉴别诊断具有重要价值。 

The Clinical Diagnostic Value of MSCT in Primary Epiploic Appendagitis

Objective: To investigate the imaging features of primary epiploic appendagitis, and to discuss their diagnostic value. Methods: 3 cases were retrospectively analyzed clinical and imaging data of the different parts of the patients with PEA. Combined with the relevant literatures, their imaging characteristics were discussed. Results: 3 cases of PEA, CT scan revealed than there were 3 cases in colon, 1 case in sigmoid colon, 1 case in ileocecal region, 1 case in ascending colon, The lesions were ovoid fatty mass abutting the colon, High density ring with adjacent fat stranding was present in 3 patients, lesions in the central point, linear density. Anti-inflammatory therapy effect is obvious, to avoid the surgical intervention. Conclusion: primary epiploic appendagitis has classical imaging appearance, CT scan is valuable in the diagnosis and differential diagnosis of primary epiploic appendagitis.