在老年妇女中通过MRCP和扩散权重成像诊断的胆囊卷发症
Isaac Azad1,2, Ivan Arsic2, Iben Gad Lauridsen3
1Department of Radiology, Aalborg Hospital, Hobrovej 18-22, 9000 Aalborg, Denmark.
Radiology case reports
|January 8, 2026
概括
胆囊卷发症是一种罕见的腹痛原因,常常被误诊. 磁共振胆血管细胞造影 (MRCP) 与扩散加权成像 (DWI) 准确地诊断了老年患者的这种情况,使得迅速的手术.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术诊断手术诊断的方法
背景情况:
- 胆囊 (GB) 卷发是一种罕见的疾病,引起急性腹痛.
- 由于非特异性症状,它经常被误诊为急性胆囊炎.
研究的目的:
- 报告一个用先进的成像技术在术前诊断出 GB 卷积病例.
- 为了突出MRCP与DWI在GB volvulus中的诊断实用性.
主要方法:
- 一个84岁的妇女的病例报告,患有急性右上象限疼痛.
- 最初的成像包括超声波 (美国) 和对比度增强计算机断层扫描 (CT).
- 进行了磁共振胆血管细胞造影 (MRCP) 与扩散权重成像 (DWI) 进行了最终诊断.
主要成果:
- 美国和CT表明了非计算性胆囊炎,CT显示了"旋转标志",但没有管道扭曲.
- MRCP证实了囊管和动脉中的"旋转标志".
- DWI在GB壁中显示了扩散限制,表明缺血.
结论:
- 美国和CT在诊断GB volvulus方面存在局限性,特别是在非典型的表现中.
- 与DWI一起的MRCP提供了关键的解剖学和功能数据,用于准确的手术前诊断.
- 这种成像方法促进了对GB volvulus.的及时手术干预.
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