CMIG Extra: Cases最新文献_第4页

MR cholangiopancreatography (MRCP) in the diagnosis of afferent loop syndrome presenting with obstructive jaundice MR胆管造影(MRCP)对传入环路综合征梗阻性黄疸的诊断价值

CMIG Extra: Cases

Pub Date : 2004-03-01 DOI: 10.1016/j.compmedimag.2003.08.004

Berna Dirim Vidinli, Fazıl Gelal, Nezahat Erdoğan, Engin Uluç

Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive imaging technique that capitalizes on the ingeunity of magnetic resonance imaging (MRI) to visualize static fluid-filled structures without use of contrast agents. A case of afferent loop syndrome presenting with obstructive jaundice is presented, diagnosed using this imaging modality. The patient, who had undergone Billroth II partial gastrectomy for benign ulcer 15 years ago, was admitted for jaundice, nause and vomiting.

MRCP showed dilatation of biliary and pancreatic ducts as well as a dilated afferent loop. No tumorous lesion was detected as the cause of the afferent loop obstruction. Intraoperatively, adhesive band near the anostomosis was seen. After adhesiolysis jaundice disappeared completely. This is the second case in the literature, describing the MRCP findings of obstructive jaundice secondary to a chronic afferent loop obstruction.

磁共振胰胆管造影(MRCP)是一种无创成像技术，它利用磁共振成像(MRI)的独创性来可视化静态充满液体的结构，而无需使用造影剂。传入环路综合征呈现梗阻性黄疸的情况下提出，诊断使用这种成像模式。患者15年前因良性溃疡行毕罗斯二期胃部分切除术，因黄疸、恶心和呕吐入院。MRCP显示胆管和胰管扩张，传入袢扩张。没有发现肿瘤病变是传入环路阻塞的原因。术中在吻合口附近见粘连带。粘连松解后黄疸完全消失。这是文献中的第二个病例，描述了MRCP发现继发于慢性传入袢阻塞的阻塞性黄疸。

引用次数: 1

Anomalous portal branches associated with polysplenia syndrome: imaging findings 门静脉分支异常与多脾综合征相关:影像学表现

CMIG Extra: Cases

Pub Date : 2004-03-01 DOI: 10.1016/j.compmedimag.2003.07.003

Takeshi Kamitani, Tsuyoshi Tajima, Daisuke Kakihara, Hidetake Yabuuchi, Ikuko Iwashita, Kenji Kawamoto

We report on a 65-year-old man with anomalous portal venous branches associated with azygos continuation and polysplenia syndrome. Ultrasound and CT of the upper abdomen demonstrated a preduodenal portal vein with stenotic intrahepatic portal venous branches; the portal blood mainly flowed into the right anterior portal branch via the preduodenal portal vein, with several accessory portal branches that flowed directly into the hepatic segments VI and III. Portal venous anomalies with such multiple accessory branches have not been reported previously.

我们报告一个65岁的男性异常门静脉分支与奇静脉延续和多脾综合征。上腹部超声及CT示十二指肠前门静脉伴肝内门静脉分支狭窄;门静脉血主要经十二指肠前门静脉流入右门静脉前支，有几个副门静脉分支直接流入肝六段和肝三段。有如此多副分支的门静脉异常以前未见报道。

引用次数: 3

Superior mesenteric artery syndrome and its ramifications 肠系膜上动脉综合征及其分支

CMIG Extra: Cases

Pub Date : 2004-01-01 DOI: 10.1016/j.compmedimag.2003.09.006

Gabriel Pivawer , Jack O. Haller , Simon S. Rabinowitz , David L. Zimmerman

The superior mesenteric artery extends anteriorly and inferiorly off the aorta at the level of the first lumbar vertebrae. The duodenal sweep and left renal vein are located in the aorto-mesenteric angle space. A decrease from the normal angle may compress these two structures. The case presented here discusses a unique patient with significant compression of the third portion of the duodenum and possible enlargement of the proximal left renal vein as these two structures cross the aorto-mesenteric angle.

肠系膜上动脉在主动脉的前面和下面延伸到第一腰椎的水平。十二指肠扫描和左肾静脉位于主动脉-肠系膜角间隙。法线角度的减小可能压缩这两个结构。本文报告的病例讨论了一个独特的患者，其十二指肠第三部分明显受压，当这两个结构穿过主动脉-肠系膜角时，左肾近端静脉可能扩大。

引用次数: 14

Superior mesenteric artery syndrome and its ramifications 肠系膜上动脉综合征及其分支

CMIG Extra: Cases

Pub Date : 2004-01-01 DOI: 10.1016/J.COMPMEDIMAG.2003.09.006

G. Pivawer, J. Haller, S. Rabinowitz, David L. Zimmerman

引用次数: 15

Epiploic appendagitis masquerading as pulmonary embolism 伪装成肺栓塞的网膜阑尾炎

CMIG Extra: Cases

Pub Date : 2004-01-01 DOI: 10.1016/j.compmedimag.2003.08.003

V. Sites, C. Wald, F. Scholz

There has been recent interest in the radiological literature regarding the various clinical manifestations of epiploic appendagitis, which may mimic many acute abdominal and pelvic conditions. We present a case of appendagitis masquerading as pulmonary embolism; to our knowledge the first reported such presentation with primary thoracic symptoms and findings prompting an initial workup for suspected pulmonary thrombembolism. Radiographic findings, differential diagnosis and the pertinent literature are briefly discussed.

最近在放射学文献中对网膜阑尾炎的各种临床表现感兴趣，它可能模仿许多急性腹部和盆腔疾病。我们提出一个病例阑尾炎伪装成肺栓塞;据我们所知，首次报道的这种表现与原发性胸部症状和结果促使初步检查疑似肺血栓形成。本文就影像学表现、鉴别诊断及相关文献作简要讨论。

引用次数: 1

MRI features of lissencephaly with cerebellar hypoplasia 无脑畸形伴小脑发育不全的MRI表现

CMIG Extra: Cases

Pub Date : 2004-01-01 DOI: 10.1016/j.compmedimag.2003.09.004

Nail Bulakbasi, Murat Kocaoglu, Bahri Üstünsöz, Cem Tayfun, İbrahim Somuncu

Lissencephaly with cerebellar hypoplasia has been recently reported as different group of lissencephaly, which is not included in either classical or cobblestone types. We described magnetic resonance imaging findings of a 8-year-old boy with lissencephaly with cerebellar hypoplasia, to distinguish it from other forms of lissencephaly.

无脑畸形合并小脑发育不全最近被报道为不同类型的无脑畸形，既不包括经典型，也不包括鹅卵石型。我们描述了一个8岁男孩无脑畸形伴小脑发育不全的磁共振成像结果，以区别于其他形式的无脑畸形。

引用次数: 2