Japanese

Diagnosis of Appendiceal Disorders by Barium Enema X-ray and Colonoscopy Seiji Shimizu 1 , Eiwa Ishida 2 , Masahiro Tada 3 , Chihiro Yokomizo 1 , Tetsushi Ishida 1 , Takahiro Mori 1 , Hideo Tomioka 1 , Toshikazu Akami 4 , Yoshikazu Shimode 4 1Division of Gastroenterology and Hepatology, Osaka General Hospital of West Japan Railway Company, Osaka, Japan 2Division of Pathology, Osaka General Hospital of West Japan Railway Company, Osaka, Japan 3Tada Gastroenterological Clinic, Kyoto, Japan 4Division of Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan Keyword: 虫垂 , 画像診断 , X線検査 , 内視鏡検査 , 虫垂重積症 pp.463-474
Published Date 2014/4/25
DOI https://doi.org/10.11477/mf.1403114117
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 Appendiceal disorders cover a wide spectrum. They include general disorders of the large intestine and those specific to the appendix, such as mucoceles. The presence of lesions increases the chance of developing appendicitis ; however, visualization of appendiceal lesions by barium enema X-ray or colonoscopy is difficult due to the extremely narrow lumen of the appendix. Consequently, formal diagnoses are often only made pathologically. If an appendix is not visualized during barium enema in patients without prior appendectomy, the presence of appendiceal lesions should be considered. When lesions are not directly observed, indirect barium findings must be carefully evaluated, including external compression, deformity, poor distensibility, and a submucosal tumor-like appearance. When diagnosing mass-forming lesions of the appendix, it is important to recognize the various degrees of appendiceal intussusception.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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