2010-02-03结直肠血管瘤课件.pptVIP

Figure 4. Sigmoid colon, cavernous hemangioma,single-contrast barium study.This postevacuation view shows extensive lobular grape-like clusters of tumor involving the sigmoid and rectosigmoid colon. Phleboliths were absent on the plain radiograph. * Axial CT scan obtained during virtual colonoscopy of air-insufflated colon at level of upper sacrum shows marked thickening of rectosigmoid wall with intramural phleboliths.Multiple small mesenteric soft-tissue masses are also seen. C, Axial CT scan obtained during virtual colonoscopy of air-insufflated colon at level of lower lumbar spine shows thickening of ascending colon with few intramural phleboliths.One area is closely opposed and possibly adherent to anterior abdominal wall. As in B, innumerable small mesenteric masses are visible. * Fig. 2. A A CT scan showing a large mass with phleboliths throughout the pelvis and nonhomogeneous enhancement after injection of contrast medium.B The CT scan demonstrates involvement of the dome and posterior wall of the bladder by the tumor. * * * Fig2. a€”44-year-omldanwithdiffusecavernouhsemangiomofarectosigmociodlonwhopresentewdithchronic rectalbleeding. A,AxiaCl Tscanshowsmarketdhickeninogfrectawl allwithperirectanletworckontaininpghiebolitinhitsante nor part (arrow). B,AxiaTl i-weightedMRimageshowsmarkedthickeninogfrectawl allandperirectanletworkhypointentsoe subcutaneousfat. Phlebolithseen on CTis retrospectively depicted in anterior part of perirectal network as hy pointensepunctiformimage(arrow). C,Axial12-weightedMRimageshowsthickeningof rectalwall,whichis hyperintense to subcutaneous fat and surroundedby hyperintenseperirectal network. Delineationbetweenrectal wall andperirectal fat is well defined. Phlebolithis not seen. D,Sagittal Ti-weightedMRimageshowsthatthickeningofbowelwallextendsfromrectumto leftcolon.Perirec tal serpiginousstructures related to numerousdistendedvessels are well visualized(arrow). * 结直肠血管瘤 腹组读片 刘婧 2010-2-3 流行病学 少见的良性肿瘤，