《多层螺旋CT小肠造影的临床应用》.pptVIP

* CT scans in a 50-year old man with severe abdominal pain and no fever. (a) Transverse CT scan of upper abdomen obtained with intravenous and oral contrast agents shows multiple dilated loops of proximal small bowel. (b) Transverse CT scan in the pelvis shows decompressed loops (arrow) of distal small bowel. The caliber change indicates an SBO. (c) Transverse CT scan obtained at the level of pubic symphysis shows incarcerated small bowel in right inguinal hernia (arrow). (d) CT coronal reformation shows the incarcerated small-bowel loop (arrow) in the right groin. This is the level of the transition point, and all readers were confident of the diagnosis of SBO on both transverse and coronal scans. * * Figure 7a.??Spectrum of segmental mural hyperenhancement indicating active inflammatory Crohn disease. (a) Active jejunal Crohn disease in a 19-year-old woman. CT enterogram shows mural hyperenhancement (arrows). Compare the normal enhancement of the unaffected small bowel (arrowhead). (b) Active ileal Crohn disease in an asymptomatic 38-year-old man. CT enterogram depicts mural hyperenhancement (arrows) with mural stratification within the thickened bowel wall. Note that the mucosal aspect of the small bowel is thickened and hyperattenuating relative to the serosa. (c) Duodenal Crohn disease in a 42-year-old woman. CT enterogram demonstrates mucosal hyperenhancement (arrows) and stratification (arrowhead). The diagnosis was confirmed at endoscopy. (d, e) Recurrent Crohn disease in a 33-year-old woman. Sequential CT enterograms demonstrate mural wall thickening and mucosal hyperenhancement (arrow in e) in the small bowel adjacent to an ileocolic anastomosis (arrowhead in d). The diagnosis was confirmed at ileoscopy. (Fig 7d and 7e reprinted, with permission, from reference 6.)? * * Figure 8a.??Spectrum of mural stratification in Crohn disease. (a) Ileal inflammation in a 46-year-old woman with a 25-year history of Crohn disease. CT enterogram shows mural stratificatio