Imaging diagnosis of intestinal duplications in children
10.3969/j.issn.1002-1671.2024.06.024
- VernacularTitle:儿童肠重复畸形的影像学诊断
- Author:
Ping XU
1
;
Jing ZHANG
;
Lu LIN
;
Juntao LÜ
Author Information
1. 南通大学附属常州儿童医院放射科,江苏 常州 213003
- Keywords:
intestinal duplications;
ultrasound;
computed tomography;
air enema
- From:
Journal of Practical Radiology
2024;40(6):966-968
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the imaging features of ultrasound,CT and air enema in children with intestinal duplications,and to improve the preoperative diagnosis rate.Methods The imaging data of 22 cases with intestinal duplications confirmed by operation and pathology were analyzed retrospectively.Results Fifteen cases underwent ultrasound,in which 12 cases showed cystic lesions,and the cyst wall showed typical"double ring sign"and"Y sign".12 cases underwent enhanced CT examination,in which 11 cases showed cystic lesions,and the enhancement pattern of the cyst wall was similar to that of intestinal wall.8 cases underwent CT plain scan examination,but only 3 cases showed cystic lesions and no characteristic signs were found.3 patients of secondary intussusceptions underwent air enema,in which 1 case of recurrent intussusceptions was unsuccessful,and 2 cases still showed masses in the ileocecal region after successful reduction.Conclusion CT plain scan has low diagnostic value for intestinal duplications in children,and the combination of ultrasound and CT enhanced examination can improve the preoperative diagnosis rate.For patients with recurrent intussusceptions and successful air enema reductions,if masses are still seen in the ileocecal region,the possibility of intestinal duplications should be considered.
