Posttraumatic intestinal stenosis: clinical and radiographic features in four patients.

Hirota C; Iida M; Aoyagi K; Matsumoto T; Yao T; Fujishima M

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Posttraumatic intestinal stenosis: clinical and radiographic features in four patients.

机译：创伤后肠道狭窄：四名患者的临床和影像学特征。

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PURPOSE: To characterize posttraumatic intestinal stenosis clinically and radiographically. MATERIALS AND METHODS: The clinical records and radiographic and pathologic findings were reviewed in four patients with posttraumatic stenosis. RESULTS: The patients experienced abdominal symptoms from 1 to 18 weeks after the trauma. While the small intestine was affected in two patients with ileus, the colon was involved in the other two patients with rectal bleeding or diarrhea. Barium studies showed an irregular contour within the severely narrowed intestine in three patients, even 25 weeks after the trauma. In these three patients, pathologic examinations of the resected specimens revealed a circumferential, open ulcer, whereas a scarred ulcer was present in the other patient. CONCLUSION: Posttraumatic intestinal stenosis is clinically characterized by a delayed onset of symptoms that differ according to the site of involvement. This condition should be included in the differential diagnosis of intestinal stenosis.

机译：目的：从临床和影像学上表征创伤后肠道狭窄。材料与方法：回顾了四例创伤后狭窄患者的临床记录以及影像学和病理学发现。结果：患者在创伤后1至18周出现腹部症状。小肠受累于两名肠梗阻患者，而结肠受累于另外两名直肠出血或腹泻患者。钡剂研究显示，三名患者甚至在创伤后25周内，在严重狭窄的肠道内轮廓不规则。在这三名患者中，对切除的标本进行病理检查发现其周围有溃疡，开放性溃疡，而另一名患者则有瘢痕性溃疡。结论：创伤后肠道狭窄的临床特征是症状发作延迟，根据受累部位的不同而不同。这种情况应包括在肠狭窄的鉴别诊断中。

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《Radiology》 |1995年第3期|共3页
作者
Hirota C; Iida M; Aoyagi K; Matsumoto T; Yao T; Fujishima M;
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正文语种 eng
中图分类放射医学;
关键词
Abdominal Injuries; Ileal Diseases; Sigmoid Diseases; Wounds; Nonpenetrating; 腹部损伤; 回肠疾病; 乙状结肠疾病; 创伤; 非贯通性;

机译：Abdominal Injuries;Ileal Diseases;Sigmoid Diseases;Wounds;Nonpenetrating;腹部损伤;回肠疾病;乙状结肠疾病;创伤;非贯通性;

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机译：创伤后肠道狭窄：四名患者的临床和影像学特征。
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Posttraumatic intestinal stenosis: clinical and radiographic features in four patients.

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