Meckel's diverticulum is the most frequent congenital malformation of the gastrointestinal tract, occurring in 2% of the general population. Meckel's diverticulum is usually asymptomatic and found incidentally. However, the lifetime risk of complications is 4-40%. In this essay, we describe the clinical and imaging findings in 12 cases of Meckel's diverticula with complications over a 5-year period, which were confirmed pathologically. The major complications of Meckel's diverticulum include gastrointestinal bleeding, bowel obstruction, perforation and inflammation. Small bowel follow-through (SBFT), computed tomography (CT) including CT enterography and RI scintigraphy can be used to show typical imaging features of Meckel's diverticulum and its complications. Knowledge of the clinical and radiologic findings of Meckel's diverticulum can aid in the early and accurate diagnosis of this anomaly and its complications.
A cortical defect with bright dotlike or curvilinear high-signal-intensity lesions on T2-weighted MRI may be an additional morphologic feature to increase the diagnostic performance of detecting anterior talofibular ligament injuries, including those with partial tears.
중 임상소견 빛 천식유발검사 양성, 그리고 폐기능 검사상 1초간 노력 성 호기 량{forced expi ratory volume in 1 second: FEV l)이 예측치의 80% 미만으로 떨어져 기관지천 식으로 진단된 (6) 16명 의 환자와 폐질환의 과거력이 없드 며 이학적검사상 정상인 정상대조군 16명을 대상으로 하 였다.기관지천식 환자와정상대조군의 남녀 비는각각 8: 8, 11 : 5 였고 연령분포는 각각 29-74세(평균, 51세), 18-55세(평균, 29.8세)였다. 흡연력은 정상대조군과 기관지천 식 환자에서 각각 4명씩 있었는데 기관지천식 환자에서는 10-40갑-년(평균, 25.6갑 -년)이었고 정상대조군에서는 2-13갑-년(평균, 4갑 -년)이었다. 기관지천식 환자의 최 근 증상지속기간은 1-60 일(평균, 9 .4일)이었고 과거병력 기간은 1-32년(평균, 5.9년)이었다. 16명의 기관지천식 환자모두에서 업원후 5일 이내 그리고기관지천식 치료전 19. Wetzel R, Herold C , Zerhouni E, et al. Hypoxic bronchodilation. J Appl Phsiol 1992; 73: 1202-1206 20. Kuhlman JE , Reyes BL, Hruban RH et al. Abnormal air-filled spaces in the lung. Radiographics 1993;13 : 47-75 21. Kondoh Y, Taniguchi H, Yokoyama S, et a l. Emphysematous change in chronic asthma in relation to cigarette smoking Assessment by computed tomography. Chest 1990; 97 845-849 22. Auerbach 0 , Hammond EC , Garfiakel L , et al. Relationship of smoking and age to emphysema whole-Iung sectio study. N Engl J Med 1972; 286: 853-857 최 교창 외 : 기 관지천 식 환자 와정상 대 조군 간의 고해상CT 소 견Purpose: The purpose of this study was to compare high-resolution CT(HRCT) findings of asthmatic and control subjects , and to evaluate the relationship between HRCT findings and clinical features in asthmatic subjects.Materials and Methods: Using HRCT, we studied 16 asthmatic and 16 control subjects. We analyzed the ratio of bronchial wall thickeness , the frequency of bronchial dilatation , the presence of emphysema , centrilobular nodule, and p 비 monary infiltration in two groups. In addition , we assessed HRCT findings of asthmatic patients for correlation with clinical findings and the p 비 monary function test Results: The ratio of bronchial wall thickness of 16 asthmatic subjects (0.48 ::t 0.08) and 16 control subjects(O 40 ::t 0.08) was significantly different in statistical analysis (p < 0.001). Bronchial dilatation was seen in 53(32 % ) of 165 bronchi in the asthmatic group and in 16(13 % ) of 119 bronchi in the control group, which was statistically significant (p
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