Ultrasonography of Acute Meckel's Diverticulitis

急性美克氏憩室炎的超音波檢查

刁翠美(Chui-Mei Tiu) ； 周宜宏(Yi-Hong Chou) ； 錢大維(Da-Wei Chien) ； 魏拙夫(Tsou-Fu Wei) ； 邱宏仁(Hong-Jen Chiou) ； 許重權(Chong-Chuan Hsu) ； 姜仁惠(Jen-Hwey Chiang) ； 于俊(Chun Yu)

《中華放射線醫學雜誌》 21卷5期 (1996/10) Pp. 237-240

摘要

有關美克氏憩室之超音波檢查，文獻上少有報告；在十一年中我們以高解像力超音波例行檢查，懷疑腹部急症之病童，於311例病童中共有5例診斷為急性美克氏憩室並由外科手術証實，另有一例為成人患者。急性美克氏憩室的超音波表現主要為下腹部之囊狀病灶（6例），較常位於右下腹(4/6)，常伴厚壁(4/6)，偶伴有腹內或鄰近的小腸腸管擴張或扭絞，或腸管間有少量積液。如果兒童（或偶爾成人）有腹部急症之懷疑，而超音波檢查顯示下腹部之囊狀腫塊，則急性美克氏憩室炎之可能性應列入鑑別診斷。超音波可判斷其液體內容物及其與終末迴腸可能的關係，從而作出正確的術前診斷。

關鍵字

兒童，胃腸道 ； 腸，疾病 ； 腸，憩室 ； 腸，超音波

並列摘要

Only a few case reports concerning ultrasonography (US) of Meckel's diverticulum have been described. In a period of 11 years, 311 children with clinical suspicion of acute abdominal condition were examined, primarily using high-resolution ultrasonography (5.0-7.5 MHz transducers). Among these, five children were diagnosed to have acute Meckel's diverticulitis which was then confirmed by surgery. An additional adult patient was included. US findings included cystic lesion in the lower abdomen (6 cases), more on the right side (4/6), usually associated with thick wall (4/6), and occasionally accompanied by dilated small bowel loops or loops with strangulation and then presence of minimal fluid between the loops. An inflamed Meckel's diverticulum should be kept in mind during differential diagnosis of a cystic lower abdominal mass in children and sometimes in adults' with abdominal pain. US is useful for recognizing its fluid contents and possible relationship with the terminal ileum, and may suggest the correct preoperative diagnosis

並列關鍵字

Children, gastrointestinal tract ； Intestines, disease ； Intestines, diverticula ； Intestines, US