The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value_West China Medical Journal

Authors：

 LiZhongquan ¹ , LiPing ² , JingJigang ³ ,  ZhuangHua ³

1. Department of Ultrasonography, Meishan Traditional Chinese Medicine Hospital, Meishan, Sichuan 620010, P. R. China;
2. Department of Gynecology and Obstetrics, Meishan Chinese Railway Hospital, Meishan, Sichuan 620010, P. R. China;
3. Department of Ultrasonography, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZhuangHua, Email: 55131340@qq.com

Keywords：

Sonographic diagnosis; Right lower abdomen; Bowel wall thickening

DOI：

10.7507/1002-0179.201600137

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the value of ultrasound in the differential diagnosis of thickened bowel wall at the lower quadrant of abdomen. Methods The ultrasonic and clinical data of 416 cases of bowel wall thickening at the lower quadrant of abdomen were retrospectively analyzed between January 2009 and April 2013 in Meishan Traditional Chinese Medicine Hospital, Meishan Chinese Railway Hospital and West China Hospital of Sichuan University. The diseases included appendicitis, periappendiceal abscess, Meckel's diverticulum, intestinal duplication, Crohn's disease and intestinal tuberculosis. Misdiagnoses were also analyzed. Results Among the 416 patients, there were 304 cases of inflammation, 90 of tumors, and 22 of congenital diseases. On ultrasound images, they manifested as cystic mass in 19 cases, mixed solid and cystic mass in 77 cases, and solid mass in 320 cases. Of all the cases, there were 56 cases of diffused changes, 54 of multiple-segment changes, and 306 of focal changes. Conclusion Ultrasound is a valuable diagnostic imaging tool in the differential diagnosis of bowel thickening diseases at the lower quadrant of abdomen.

Citation： LiZhongquan, LiPing, JingJigang, ZhuangHua. The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value. West China Medical Journal, 2016, 31(3): 519-522. doi: 10.7507/1002-0179.201600137 Copy

1.	Portnoi LM. Some problems of radiation diagnosis of colon cancer[J]. Vestn Rentgenol Radiol, 2004(2):20-33.
2.	段星星, 李皓, 何静波, 等. 经腹超声对儿童结肠壁增厚性疾病的诊断价值[J]. 中国超声医学杂志, 2015, 31(4):332.
3.	黄晓民, 叶晶晶, 强剑颖, 等. 超声诊断急性阑尾炎145例分析[J]. 中国误诊学杂志, 2010, 10(4):895-896.
4.	曹根海, 王金锐. 实用腹部超声诊断学[M]. 北京:人民卫生出版社, 2003:417.
5.	温宗炬, 谢宏伟, 蒋冬轶. 超声诊断急性阑尾炎40例[J]. 西部医学, 2007, 19(2):283-284.
6.	李世樱, 何庆兰, 廖晓红, 等. 联合高频及低频超声技术诊断阑尾炎的临床价值[J]. 中国现代医生, 2015, 53(23):115-117.
7.	余俊丽, 刘广健, 文艳玲, 等. 超声检查对不同病理类型阑尾炎的诊断价值[J]. 中华超声医学杂志:电子版, 2015, 12(6):471.
8.	谢灵. 联合高频-低频彩色多普勒诊断急性阑尾炎的临床体会[J]. 中外女性健康研究, 2015(2):206.
9.	王硕, 陈苏宁, 吴剑, 等. 超声对粪石性阑尾炎的诊断价值及临床意义[J]. 上海医学影像, 2009, 18(1):41-43.
10.	郭驰波, 白建平, 秦大伟, 等. 回盲部包块32例诊治经验与教训[J]. 临床军医杂志, 2008, 36(1):55-56.
11.	潘江. 胃肠道肿瘤B超分析[J]. 现代诊断与治疗, 2014, 25(10):2272.
12.	王锋, 胡六妹, 李影, 等. 肠道充盈法在回盲部结肠癌超声诊断中的辅助作用[J]. 实用医学影像杂志, 2009, 10(6):391-392.
13.	王彬, 陈敏华. Crohn's病的超声表现与诊断[J]. 中华医学杂志, 1993(73):482-483.
14.	杭桂芳, 武心萍, 丁文波. 克罗恩病的超声诊断价值[J]. 中华现代影像杂志, 2006, 3(6):538.
15.	陶春梅, 李澜, 王学梅, 等. 超声诊断非肿瘤性肠壁增厚性病变73例[J]. 世界华人消化杂志, 2007, 15(25):2760-2761.
16.	陈英生.超声在975例小儿非肿瘤性肠壁增厚性病变的临床诊断价值[J]. 航空航天医学杂志, 2015, 26(9):1093.
17.	Menezes M, Tareen F, Saeed A, et al. Symptomatic Meckel's diverticulum in children:a 16-year review[J]. Pediatr Surg Int, 2008, 24(5):575-577.
18.	张媛, 王岩, 彭旭. 单孔法腹腔镜辅助下小儿梅克尔憩室切除术探讨[J]. 临床小儿外科杂志, 2013, 12(1):50-52.
19.	辛悦, 贾立群, 王晓曼. 儿童继发性肠套叠的超声表现[J]. 中华医学超声杂志:电子版, 2011, 8(5):1106-1115.
20.	覃伶伶, 符少清, 刘秉彦, 等. 卵黄囊发育异常的超声诊断价值[J]. 中国超声医学杂志, 2012, 28(5):458-461.

1. Portnoi LM. Some problems of radiation diagnosis of colon cancer[J]. Vestn Rentgenol Radiol, 2004(2):20-33.
2. 段星星, 李皓, 何静波, 等. 经腹超声对儿童结肠壁增厚性疾病的诊断价值[J]. 中国超声医学杂志, 2015, 31(4):332.
3. 黄晓民, 叶晶晶, 强剑颖, 等. 超声诊断急性阑尾炎145例分析[J]. 中国误诊学杂志, 2010, 10(4):895-896.
4. 曹根海, 王金锐. 实用腹部超声诊断学[M]. 北京:人民卫生出版社, 2003:417.
5. 温宗炬, 谢宏伟, 蒋冬轶. 超声诊断急性阑尾炎40例[J]. 西部医学, 2007, 19(2):283-284.
6. 李世樱, 何庆兰, 廖晓红, 等. 联合高频及低频超声技术诊断阑尾炎的临床价值[J]. 中国现代医生, 2015, 53(23):115-117.
7. 余俊丽, 刘广健, 文艳玲, 等. 超声检查对不同病理类型阑尾炎的诊断价值[J]. 中华超声医学杂志:电子版, 2015, 12(6):471.
8. 谢灵. 联合高频-低频彩色多普勒诊断急性阑尾炎的临床体会[J]. 中外女性健康研究, 2015(2):206.
9. 王硕, 陈苏宁, 吴剑, 等. 超声对粪石性阑尾炎的诊断价值及临床意义[J]. 上海医学影像, 2009, 18(1):41-43.
10. 郭驰波, 白建平, 秦大伟, 等. 回盲部包块32例诊治经验与教训[J]. 临床军医杂志, 2008, 36(1):55-56.
11. 潘江. 胃肠道肿瘤B超分析[J]. 现代诊断与治疗, 2014, 25(10):2272.
12. 王锋, 胡六妹, 李影, 等. 肠道充盈法在回盲部结肠癌超声诊断中的辅助作用[J]. 实用医学影像杂志, 2009, 10(6):391-392.
13. 王彬, 陈敏华. Crohn's病的超声表现与诊断[J]. 中华医学杂志, 1993(73):482-483.
14. 杭桂芳, 武心萍, 丁文波. 克罗恩病的超声诊断价值[J]. 中华现代影像杂志, 2006, 3(6):538.
15. 陶春梅, 李澜, 王学梅, 等. 超声诊断非肿瘤性肠壁增厚性病变73例[J]. 世界华人消化杂志, 2007, 15(25):2760-2761.
16. 陈英生.超声在975例小儿非肿瘤性肠壁增厚性病变的临床诊断价值[J]. 航空航天医学杂志, 2015, 26(9):1093.
17. Menezes M, Tareen F, Saeed A, et al. Symptomatic Meckel's diverticulum in children:a 16-year review[J]. Pediatr Surg Int, 2008, 24(5):575-577.
18. 张媛, 王岩, 彭旭. 单孔法腹腔镜辅助下小儿梅克尔憩室切除术探讨[J]. 临床小儿外科杂志, 2013, 12(1):50-52.
19. 辛悦, 贾立群, 王晓曼. 儿童继发性肠套叠的超声表现[J]. 中华医学超声杂志:电子版, 2011, 8(5):1106-1115.
20. 覃伶伶, 符少清, 刘秉彦, 等. 卵黄囊发育异常的超声诊断价值[J]. 中国超声医学杂志, 2012, 28(5):458-461.

West China Medical Journal

The Imaging Features of Thickened Bowel Wall at the Lower Quadrant of Abdomen by Ultrasound and Its differential Diagnostic Value

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content