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Computed tomography three-dimensional reconstruction in the diagnosis of bleeding small intestinal polyps: A case report.
Zhang, Shu-Hui; Fan, Ming-Wei; Chen, Yan; Hu, Ying-Bin; Liu, Cheng-Xia.
Afiliación
  • Zhang SH; Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China.
  • Fan MW; Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China.
  • Chen Y; Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China.
  • Hu YB; Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China. huyingbin@sina.com.
  • Liu CX; Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China.
World J Clin Cases ; 12(16): 2831-2836, 2024 Jun 06.
Article en En | MEDLINE | ID: mdl-38899307
ABSTRACT

BACKGROUND:

Computed tomography (CT) small bowel three-dimensional (3D) reconstruction is a powerful tool for the diagnosis of small bowel disease and can clearly show the intestinal lumen and wall as well as the outside structure of the wall. The horizontal axis position can show the best adjacent intestinal tube and the lesion between the intestinal tubes, while the coronal position can show the overall view of the small bowel. The ileal end of the localization of the display of excellent, and easy to quantitative measurement of the affected intestinal segments, the sagittal position for the rectum and the pre-sacral lesions show the best, for the discovery of fistulae is also helpful. Sagittal view can show rectal and presacral lesions and is useful for fistula detection. It is suitable for the assessment of inflammatory bowel disease, such as assessment of disease severity and diagnosis and differential diagnosis of the small bowel and mesenteric space-occupying lesions as well as the judgment of small bowel obstruction points. CASE

SUMMARY:

Bleeding caused by small intestinal polyps is often difficult to diagnose in clinical practice. This study reports a 29-year-old male patient who was admitted to the hospital with black stool and abdominal pain for 3 months. Using the combination of CT-3D reconstruction and capsule endoscopy, the condition was diagnosed correctly, and the polyps were removed using single-balloon enteroscopy-endoscopic retrograde cholangiopancreatography without postoperative complications.

CONCLUSION:

The role of CT-3D in gastrointestinal diseases was confirmed. CT-3D can assist in the diagnosis and treatment of gastrointestinal diseases in combination with capsule endoscopy and small intestinal microscopy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos