Journal of Hebei Medical University
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Abstract: [Abstract] Objective〖HTSS〗〓To investigate the value of multislice spiral computed tomography(MSCT) applying in the diagnosis of nonneoplastic obstruction in the small intestine. 〖HTH〗〖WTHZ〗Methods〖HTSS〗〓MSCT data of 13 patients with nonneoplastic obstruction in the small intestine confirmed by surgery in our hospital. The causes of obstruction and MSCT features were analyzed. 〖HTH〗〖WTHZ〗Results〖HTSS〗〓Among the 13 patients with nonneoplastic obstruction in the small intestine, 5 cases of obstruction were caused by bezoar, 5 cases of obstruction were caused by gallstones, 2 cases of obstruction were caused by ascaris and 1 case of obstruction was caused by metallic foreign bodies. In the 5 patients with obstruction caused by bezoar, 2 patients were combined with gastric bezoar. In the 5 patients with obstruction caused by gallstones, 3 patients had biliaryintestinal fistula and 2 had biliarygastric fistula. Seroperitoneum was found in 8 patients, with a small amount of effusion in 5 patients and a moderate amount of effusion in 3 patients. Nonneoplastic obstruction in the small intestine showed characteristic MSCT manifestations: obstruction caused by gallstones presented highdensity shadow in “concentric circles”, obstruction caused by bezoar presented “bubble sign” and “cork sign”, obstruction caused by ascaris presented “noodlesection sign”, obstruction caused by metallic foreign bodies presented “bubble sign” accompanied by metal artifacts. Accurate etiological analysis was obtained preoperatively in 12 surgeries for nonneoplastic obstruction in the small intestine(accuracy, 92.3%). Due to respiratory motion artifacts, 1 patient with obstruction caused by ascaris was preoperatively misdiagnosed as obstruction caused by bezoar. 〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Mastering the MSCT performance of nonneoplastic obstruction in the small intestine is of great significance to improve the etiological analysis and clinical treatment of nonneoplastic obstruction in the small intestine.
Key words: intestinal obstruction; nonneoplastic lesion, tomography, spiral computed
CHEN Chao, YANG Zhiyuan, YIN Yang, ZHAO Yan. MSCT analysis of non tumor obstruction in the small intestine#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.03.018.
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URL: https://xuebao.hebmu.edu.cn/EN/10.3969/j.issn.10073205.2018.03.018
https://xuebao.hebmu.edu.cn/EN/Y2018/V38/I3/322