1) pared colonica engrosada con haustras exageradas: coliti seudomembranosa 2) pared colonica engrosada con saliente de perfil rodeada por grasa ecogenica prominente: diverticulitis 3)pared colonica engrosada con compromiso de la grasa adyacente, que imoresiona mas ecogenica y aumentada de volumen: enfermedad inflamatoria intestinal, probablemente Crohn.
Veo que son casos diferentes: - C.Pseudomembranosa: engrosamiento mamelonado parietal de colon respetando sus capas.Importante tener correlación con clínica.
- Impresiona una diverticulitis, lo más frecuente, aunque podría ser una perforación local focal parietal del colon por C.E.
- Colitis, engrosamiento pariteal difuso a expensas de capa muscular fundamentalmente con aumento ecogenicidad tej. adiposo adyacente
1.- Engrosamiento de toda la pared intestinal con imagen similar a la que se ve en la colitis pseudomembranosa en TC. :Colitis pseudomembranosa. 2.- Estructura semitubular con edema periferico :Diverticulitis? apendagitis? 3.- Engrosamiento pared del colon con disminucion de la irrigacion....Colopatia isquemica
1) De acuerdo con engrosamiento parietal difusi. Hay un poco de liquido libre. Parece existir invaginaciòn intestinal. 2) Diverticulitis 3) Engrosamiento parietal concentrico con aumnto de volumen y ecogenicidad del tejido adiposo mesenterico. Enf Crohn es una buena opciòn.
Bien encaminados, salvo excepciones 1. engrosamiento parietal de la pared extenso, pricipalmente a expensas de submucosa, compatible con colitis, probablemente infecciosa, no crohn porque es transmural. 2. Diverticulitis aguda no complicada, no es apendangitis porque claramente hay un diverticulo central, además no se ve la imagen en "naveta" típica. 3. Engrosamiento transmural del colon, probablemente inflamatorio, puede ser crohn, pero le faltan otrops hallazgos como fistulas alteraciones mesentéricas etc. también podría ser isquémica.En este caso también era infecciosa.
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20 Comments:
1) pared colonica engrosada con haustras exageradas: coliti seudomembranosa
2) pared colonica engrosada con saliente de perfil rodeada por grasa ecogenica prominente: diverticulitis
3)pared colonica engrosada con compromiso de la grasa adyacente, que imoresiona mas ecogenica y aumentada de volumen: enfermedad inflamatoria intestinal, probablemente Crohn.
Veo que son casos diferentes:
- C.Pseudomembranosa: engrosamiento mamelonado parietal de colon respetando sus capas.Importante tener correlación con clínica.
- Impresiona una diverticulitis, lo más frecuente, aunque podría ser una perforación local focal parietal del colon por C.E.
- Colitis, engrosamiento pariteal difuso a expensas de capa muscular fundamentalmente con aumento ecogenicidad tej. adiposo adyacente
1.- Engrosamiento de toda la pared intestinal con imagen similar a la que se ve en la colitis pseudomembranosa en TC. :Colitis pseudomembranosa.
2.- Estructura semitubular con edema periferico :Diverticulitis? apendagitis?
3.- Engrosamiento pared del colon con disminucion de la irrigacion....Colopatia isquemica
Hasta el momento los comentarios y orientaciones están bien encaminados....pero hay algunos errores
1) De acuerdo con engrosamiento parietal difusi. Hay un poco de liquido libre. Parece existir invaginaciòn intestinal.
2) Diverticulitis
3) Engrosamiento parietal concentrico con aumnto de volumen y ecogenicidad del tejido adiposo mesenterico. Enf Crohn es una buena opciòn.
Bien encaminados, salvo excepciones
1. engrosamiento parietal de la pared extenso, pricipalmente a expensas de submucosa, compatible con colitis, probablemente infecciosa, no crohn porque es transmural.
2. Diverticulitis aguda no complicada, no es apendangitis porque claramente hay un diverticulo central, además no se ve la imagen en "naveta" típica.
3. Engrosamiento transmural del colon, probablemente inflamatorio, puede ser crohn, pero le faltan otrops hallazgos como fistulas alteraciones mesentéricas etc. también podría ser isquémica.En este caso también era infecciosa.
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