成人管状双食管畸形1例
发布时间:2018-11-15 15:25
【摘要】:正患者男,53岁,因"进食哽噎2月余"入院。上消化道钡剂造影:食管黏膜欠光整,上段平T4椎体水平局限性狭窄,其上段扩张,食管下段见一线样充盈缺损(图1A),诊断为食管憩室、双食管畸形。胸部CT:食管内可见一纤细管状结构影,强化程度类似于食管壁(图1B),上段平T2椎体水平处与食管共壁,下段近贲门处与食管共壁,CT诊断为双食管畸形(管状型)。胃镜检查:进镜距门齿约21cm处见
[Abstract]:The patient, 53 years old, was admitted to hospital because of eating choking for two months. Upper gastrointestinal barium radiography: esophageal mucosal insufficiency, upper segment flat T 4 vertebra level local stenosis, its upper segment dilated, the lower esophagus showed a first-line filling defect (Fig. 1A), diagnosed as esophageal diverticulum, double esophageal malformation. A slender tubular structure was seen in the esophagus of thoracic CT:. The enhancement degree was similar to that of the esophageal wall (Fig. 1B). The upper level of T 2 vertebrae and the common wall of the esophagus, the lower segment proximal to the cardia and the esophageal common wall, were diagnosed as biesophageal malformations (tubular type) by CT. Gastroscopy: the distance between endoscope and incisors is about 21cm
【作者单位】: 郑州大学第一附属医院放射科;
【分类号】:R571
本文编号:2333679
[Abstract]:The patient, 53 years old, was admitted to hospital because of eating choking for two months. Upper gastrointestinal barium radiography: esophageal mucosal insufficiency, upper segment flat T 4 vertebra level local stenosis, its upper segment dilated, the lower esophagus showed a first-line filling defect (Fig. 1A), diagnosed as esophageal diverticulum, double esophageal malformation. A slender tubular structure was seen in the esophagus of thoracic CT:. The enhancement degree was similar to that of the esophageal wall (Fig. 1B). The upper level of T 2 vertebrae and the common wall of the esophagus, the lower segment proximal to the cardia and the esophageal common wall, were diagnosed as biesophageal malformations (tubular type) by CT. Gastroscopy: the distance between endoscope and incisors is about 21cm
【作者单位】: 郑州大学第一附属医院放射科;
【分类号】:R571
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1 南一宇,池松一,黄锡虎,许龙国;副食管1例[J];现代医用影像学;1999年03期
,本文编号:2333679
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