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1.
Nihon Shokakibyo Gakkai Zasshi ; 109(6): 910-20, 2012 Jun.
Artigo em Japonês | MEDLINE | ID: mdl-22688167

RESUMO

This study aimed to assess the diagnostic usefulness of CT enterography (CTE) in Crohn's disease in Japanese patients. A total of 32 cases with bowel symptoms underwent CT enterography with polyethylene glycol electrolyte solution as oral contrast medium, among which 18 were clinically diagnosed as Crohn's disease and 14 were not: ulcerative colitis 1, Beçhet disease 1, simple ulcer 1, inflammatory bowel disease without definite diagnosis 5 and bowel symptoms of unknown origin 6. The incidence of bowel wall thickening, mural hyperenhancement, "the comb sign", mesenteric lymph nodes swelling, and stenosis were significantly higher in Crohn's disease than in other disease. Moreover, uneven bowel wall thickening and unilateral mural hyperenhancement on CTE were characteristic features of Crohn's disease, which our original quantitative evaluation with imaging analysis could support. Consequently, CTE is useful in Japanese patients with Crohn's disease.


Assuntos
Meios de Contraste , Doença de Crohn/diagnóstico por imagem , Polietilenoglicóis , Adolescente , Adulto , Idoso , Eletrólitos , Feminino , Humanos , Intestino Delgado/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
2.
Nihon Shokakibyo Gakkai Zasshi ; 107(11): 1806-13, 2010 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-21071898

RESUMO

A 50-year-old woman was admitted to our hospital because of abdominal pain and vomiting. Ileus with ulcerated jejunal tumor was diagnosed and biopsy revealed adenocarcinoma. Because her serum level of DUPAN-2 was high, she was examined by PET scan, which revealed that she had a left ovarian mass in addition to the jejunal tumor. Surgical resection was performed: both tumors were adenocarcinoma, but the ovarian tumor was considered to be metastatic clinically and histologically. Immunostaining for DUPAN-2 was positive in the both tumors. The serum level of DUPAN-2 returned to normal after the surgery, and has been within normal limits for about 3 years without any additional therapy. This case shows a possible relation between small bowel adenocarcinoma and DUPAN-2.


Assuntos
Adenocarcinoma/diagnóstico , Antígenos de Neoplasias/sangue , Neoplasias do Jejuno/diagnóstico , Adenocarcinoma/cirurgia , Biomarcadores Tumorais/sangue , Feminino , Humanos , Neoplasias do Jejuno/cirurgia , Pessoa de Meia-Idade
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