Clinical and MSCT manifestations of infectious lesions around the ileocecus / 实用放射学杂志

ABSTRACT

Objective To summarize the clinical and MSCT manifestations of infectious lesions around the ileocecus.Methods The clinical and CT manifestations of 147 patients with infectious lesions around the ileocecus were analyzed retrospectively.All of patients were confirmed by postoperative pathology or clinical diagnosis.Results Of 147 patients,there were 119 cases of appendicitis, including 2 cases of ileocecal tumor combined with acute appendicitis;1 1 cases of colonic diverticulitis,including 5 cases with bezoars in diverticulum (perforation occurred in 3 cases);14 cases of abdominal abscess (9 cases showed peripheral slightly hyper-density and central hypo-density masses,and 5 cases showed the faveolate inhomogeneous hypo-density,significantly enhanced walls and septum on enhanced CT imaging);3 cases of right tubal abscess showing sausage-like hypo-density.Conclusion CT shows high sensitivity and specificity for the diagnosis of infectious lesions around the ileocecus.MSCT manifestations are more overlapped among different infectious lesions around the ileocecal region,and clinical features of these diseases are similar,which can cause missed diagnosis and misdiagnosis.