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The CT scans in 25 patients without ileocecal pathology and 52 patients with ileocecal abnormalities were retrospectively reviewed. The ileocecal region was identified in 18/25 (72%) of patients without pathology. Thirty of 52 patients with ileocecal pathology had inflammatory disease: Crohn's (13), appendicitis (9), abscess (6), and typhlitis (2). CT was complementary to barium studies, demonstrating wall thickening, pericolonic inflammatory change, masses, fascial thickening, and fistulae. Twenty patients had malignancy: primary carcinoma (9), metastases (7), and lymphoma (4). In all patients with carcinoma a mass was identified. Pericolonic stranding represented tumor extension in 5/6 patients. Metastases were identified as extrinsic ileocecal masses in all 7 patients. Liver, mesenteric and omental metastases were present in 8/20 patients. In patients with lymphoma there was wall thickening and two had additional pericecal lymphadenopathy. In 2 patients with hypoalbuminemia, findings included: wall thickening, mesenteric, and subcutaneous edema.

Original publication

DOI

10.1016/0895-6111(88)90040-7

Type

Journal article

Journal

Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society

Publication Date

09/1988

Volume

12

Pages

293 - 303

Addresses

Department of Radiology, Georgetown University Hospital, Washington, D.C. 20007.

Keywords

Ileocecal Valve, Humans, Abscess, Lymphoma, Cecal Neoplasms, Ileal Neoplasms, Crohn Disease, Cecal Diseases, Ileal Diseases, Tomography, X-Ray Computed, Retrospective Studies, Adolescent, Adult, Aged, Aged, 80 and over, Middle Aged, Child, Female, Male