Nisan 2018
MDCT findings on gastrointestinal tract lipomas located along the esophagus to the rectum
Özofagustan rektuma gastrointestinal lipomlarin çok kesitli bilgisayarli tomografi bulgulari
- Ana Sayfa
- Sayılar
- Nisan 2018
- MDCT findings on gastrointestinal tract lipomas located along the esophagus to the rectum...
Özet
Background and Aims: To evaluate the multidedector computed tomography findings of gastrointestinal lipomas in various locations. Materials and Methods: This study included 45 patients who were referred from the gastroenterology or surgery department over the period of 2007 to 2016. The patients were referred for detailed ab-dominal examination for various reasons and symptoms. Among the included patients, 21 were males and 24 were females. The mean age of the patients was 62.64±11.82 (median 69.5, range 37-81). The main complaints of the patients were abdominal pain, abdominal distension, tiredness, and constipation. All patients were examined through en-hanced or nonenhanced multidedector computed tomography. Imag-es were acquired with 64-slice multidedector computed tomography. The densities of the masses were measured in Hounsfield units, and the detailed multidedector computed tomography findings of the masses were summarized. Results: Lipomas were found in 47 patients. Lipomas of the esophagus, stomach, duedonum, jejenum, ileum, and caecum were found in 1 (2.1%), 4 (8.5%), 2 (4.2%), 5 (1.0%), 3 (6.3%), and 9 (19.1%) patients, respectively. Lipomas of the ascending colon, trans-verse colon, descending colon, sigmoid colon, and rectum were found in 9 (19.1%), 4 (8.5%), 5 (1.0%), 4 (8.5%), and 1 (2.1%) patients, re-spectively. The lipomas had a mean Hounsfield unit density of ?93±10.5 (median 85, range ?70-?100). The maximum mean diameter of the lipo-mas was 23 mm ± 18. 5 (median 20, range 12-50 mm). All lesions were submucosal in location. Conclusion: Lipomas may be located anywhere along the gastrointestinal tract and may be found from the esophagus to the rectum. Multidedector computed tomography is a useful tool for the diagnosis, location, and definition of lesions and does not require or requires minimal assistance from endoscopic biopsy.
Abstract
Giris ve Amaç: Gastrointestinal sistemde degisik lokasyonlarda sapta-nan submukozal lipomlarin çok kesitli bilgisayarli tomografi bulgularini degerlendirmek. Gereç ve Yöntem: Bu çalismaya 2007-2016 tarihleri arasinda gastroenteroloji ve genel cerrahi kliniklerinden degisik neden-lerle gönderilen ve abdomen bilgisayarli tomografisi çekilen 47 hasta dahil edildi. Hastalarin 21’i erkek, 24’ü kadin idi. Ortalama yas 62,64 ± 11.82 (medyan 69.5, aralik 37-81) idi. Hastalarin baslica sikayeti abdo-minal agri, distansiyon, halsizlik ve kabizlikti. Bütün hastalar kontrastli veya kontrastsiz çok kesitli bilgisayarli tomografi ile degerlendirildi. Gö-rüntüler 64 kesitli çok kesitli bilgisayarli tomografi cihazi ile elde edildi. Hounsfield ünitesi olarak kitlelerin dansite ölçümleri yapildi ve çok kesitli bilgisayarli tomografi bulgulari özetlendi. Bulgular: Toplam 47 hastada lipoma saptandi. Özofagusta 1 (%2.1), midede 4 (%8.5), duedonumda 2 (%4.2), jejenumda 5 (%1.0), ileumda 3 (%6.3), çekumda 9 (%19.1), çikan kolonda 9 (%19.1), transvers kolonda 4 (%8.5), inen kolonda 5 (%1.0), sigmoid kolonda 4 (%8.5) ve rektumda 1 (%2.1) lipom olgusu vardi. Lipomalarin ortalama Hounsfield dansite degeri -93±10,5 (medi-an 85, aralik -70 ile -100) idi. Ortalama en büyük tümör çapi 23 mm ± 18. 5 (median 20, aralik 12 ile 50 mm) idi. Tüm lezyonlar submukozal yerlesimli idi. Sonuç: Gastrointestinal trakt lipomalari özefagustan rek-tuma kadar herhangi bir yerde izlenebilir. Çok kesitli bilgisayarli tomog-rafi tani, lokalize etme ve tanimlama açisindan endoskopik biyopsinin minimal ya da hiç yardimi olmaksizin faydali bir görüntüleme yöntemi-dir.
