The value of spiral CT in diagnosis of intestine entocele

Abstract

Objective To elevate the usefulness of spiral CT in diagnosis of intestinal entocele. Methods The CT findings of 11 cases of intestinal entocele proved by operation were reviewed.The main reconstruction techniques were MPR(multiple plane reconstruction)and STS-MIP(slip thin slab maximal intensity projection).Results Eleven cases of intestinal entoceles were all diagnosed accurately before operation.The main sign were left paraduodenal hernia,demonstrated as a saclike mass between stomach and pancreas,clustering,displacing or crowding and elongating of small-bowel loops,engorgement and crowding of the mesenteric vessels with frequent right displacement of the main mesenteric trunk,other bowel displacing.Orificium hernialis were seen with bowel obstruction.When intestinal entocele accompanying torsion,whirlpoolof intestine and mesentery vessels were seen.Conclusion Spiral CT and MPR,STS- MIP techniques have important clinical value to diagnose the intestinal torsion.