A case of inflammatory fibroid polyp of the ileum presenting typical findings of intussusception by ultrasonography and computed tomography

  • OIDE Takashi
    Department of Internal Medicine, Fujimi-Kougen Hospital
  • KOMATSU Osamu
    Department of Internal Medicine, Fujimi-Kougen Hospital
  • KOMATSU Makoto
    Department of Surgery, 3) Department of Radiology, Fujimi-Kougen Hospital, 4) Central Clinical Laboratories, Shinshu University Hospital
  • YAMAGISHI Kiyofumi
    Department of Surgery, 3) Department of Radiology, Fujimi-Kougen Hospital, 4) Central Clinical Laboratories, Shinshu University Hospital
  • OGUCHI Kazuhiro
    Department of Radiology, Fujimi-Kougen Hospital University Hospital
  • HOSAKA Noriko
    Central Clinical Laboratories, Shinshu University Hospital
  • INOUE Kazuaki
    Department of Internal Medicine, Fujimi-Kougen Hospital

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  • 腹部超音波およびCT検査で典型的な腸重積の所見を呈した回腸inflammatory fibroid polypの1例

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Abstract

症例は47歳女性.小腸腸閉塞症の診断にて入院.腹部CT検査にて小腸の一部に三層の類円状構造を認め,腹部超音波(US)検査にてcrescent-in-doughnut signを認めたため,成人腸重積症と診断した.また,USにて重積部腸管内の腫瘤性病変が観察され,外科手術の結果,inflammatory fibroid polypを重積の先進部として確認した.比較的稀な原因による成人腸重積症であると同時に,術前検査としてのCTおよびUSの有用性を示す症例と考えられた.

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