医学影像英语每日读丨105.Abdominal Cocoon Sign
每天朗读一段医学影像学英语文章
朗读者：Chester领读
Notes:
1. Abdominal Cocoon Sign腹茧症
cocoon [kəˈkun]n.茧，蚕茧; vt.把…紧紧包住
2. adenopathy 淋巴结肿大
3. hernia [ˈhɜ:rniə]n. 疝气
4. membrane [ˈmɛmˌbren]n. 隔膜
5. dialysis [daɪˈælɪsɪs]n. 渗析; 透析，分离
6. peritoneal [perɪtə'ni:əl] adj. 腹膜的
7. fibrocollagenous [faɪbrɒkə'lɑ:dʒenəs] 胶原纤维的 8. muralcalcification壁钙化；
mural[ˈmjʊrəl]n. 通常指大型的）壁画
9. intestinal[ɪnˈtɛstənəl] adj. 肠的; 肠壁; 肠道细菌
10. sclerosingencapsulating peritonitis 硬化包裹性腹膜炎；
sclerosing [sklɪr'roʊsɪŋ]adj. 致硬化的，硬化性的；
encapsulatingv. 装入胶囊；
peritonitis [ˌpɛrɪtnˈaɪtɪs] n. 腹膜炎
This case show cluster of collected small bowel loops in a strange way in the lower and upper abdomen, no history of renal disease or peritoneal dialysis and no past surgery and preoperatively diagnosed as internal hernia. The operative findings was thick fibrous membrane was enclosing many loops of small bowel and diagnosed as primary abdominal cocoon.
该病例可见上腹部和下腹部小肠以一种特殊的方式呈簇状聚集，无肾病史或腹膜透析史，无术后或者术前诊断性肠疝。术中发现大量增厚的纤维薄膜包裹小肠，诊断为原发性腹茧。
Discussion:
Sclerosing encapsulating peritonitis is a rare benign cause of acute or subacute small bowel obstruction. It is characterised by total or partial encasement of the small bowel within a thick fibrocollagenous membrane.
讨论：硬化性包裹性腹膜炎是一种罕见的良性病变，急性或亚急性的小肠梗阻。特点是小肠全部或部分被厚厚的纤维膜包裹。
CT:
In the appropriate clinical setting, recognition of the entire dilated small bowel at the centre of the abdomen and encased within a thick fibrocollagenous membrane, as though it were in a cocoon, on a CT image is diagnostic of sclerosing encapsulating peritonitis. The other imaging findings may include signs of obstruction, fixation of intestinal loops, ascites or localised fluid collections, bowel wall thickening, peritoneal or mural calcification, and reactive adenopathy.
CT：在适当的检查方式中，可见全部小肠扩张，被厚厚的纤维膜包裹，仿佛一个蚕茧，通过CT表现可诊断为硬化性包裹性腹膜炎。其他影像征象包括：肠梗阻，小肠固定（停止蠕动），腹水或局限性腹部积液，肠壁增厚，脏腹膜和壁腹膜钙化，反应性淋巴结肿大。
From: radiopaedia.org
来源：每天朗读一段医学影像学英语文章
圈主
深圳市人民医院放射科副主任医师杨敏洁