TY - JOUR
T1 - Uneven haustra on CT colonography
T2 - A clue for the detection of transperitoneal invasion from gastric cancer
AU - Tomimatsu, Hideto
AU - Kanematsu, Masayuki
AU - Goshima, Satoshi
AU - Watanabe, Haruo
AU - Ono, Hiromi
AU - Asano, Takahiko
AU - Kondo, Hiroshi
AU - Hoshi, Hiroaki
AU - Moriyama, Noriyuki
PY - 2012/8
Y1 - 2012/8
N2 - Two patients with gastric carcinoma underwent CT colonography (CTC) for preoperative work-up. Although no obvious peritoneal nodules were seen on axial CT images, colonic wall deformities were noted on threedimensional (3D) air images. Multiplanar-reformatted images revealed corresponding colonic wall thickening at the deformities, and in addition, dense cordlike structures connecting the primary gastric cancer and colonic wall thickening were also observed. In one patient, cordlike indurations consistent with peritoneal invasion were found to connect the primary gastric cancer, gastrocolic ligament, and transverse mesocolon during exploratory surgery, and in the other, colonic scars consistent with peritoneal invasion after chemotherapy were observed. These observations suggest that CTC could be of potential use for the differentiation of transperitoneal colonic invasion and gastric cancer.
AB - Two patients with gastric carcinoma underwent CT colonography (CTC) for preoperative work-up. Although no obvious peritoneal nodules were seen on axial CT images, colonic wall deformities were noted on threedimensional (3D) air images. Multiplanar-reformatted images revealed corresponding colonic wall thickening at the deformities, and in addition, dense cordlike structures connecting the primary gastric cancer and colonic wall thickening were also observed. In one patient, cordlike indurations consistent with peritoneal invasion were found to connect the primary gastric cancer, gastrocolic ligament, and transverse mesocolon during exploratory surgery, and in the other, colonic scars consistent with peritoneal invasion after chemotherapy were observed. These observations suggest that CTC could be of potential use for the differentiation of transperitoneal colonic invasion and gastric cancer.
KW - CT colonography
KW - Dissemination
KW - Gastric cancer
KW - Transperitoneal invasion
UR - https://www.scopus.com/pages/publications/84864284474
U2 - 10.1007/s00261-011-9819-5
DO - 10.1007/s00261-011-9819-5
M3 - 記事
C2 - 22038331
AN - SCOPUS:84864284474
SN - 0942-8925
VL - 37
SP - 570
EP - 574
JO - Abdominal Imaging
JF - Abdominal Imaging
IS - 4
ER -
