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전대장을 침범한 무신경절증의 방사선학적 고찰
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  • 전대장을 침범한 무신경절증의 방사선학적 고찰
저자명
임덕,연경모
간행물명
대한방사선의학회지
권/호정보
1985년|21권 4호|pp.623-628 (6 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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Radiologic findings of Total Colonic Aganglionosis (T.C.A.) were analized in 15 patients with the results as follows; 1. Male to female ratio was 8:7. 2. There were six cases of small calibered colon, seven cases of normal colon and two cases of megacolon. 3. Free reflux of barium into the small bowel was observed in seven cases out of eight in which retrograde filling was tried. 4. Delayed films (24hrs or more) were available in eight cases and most of the barium remained in bowel in six cases. 5. There were abnormal colonic cotractions in three cases, decreased redundancy in five and five cases of irregular, hypertrophic mucosal wall suggesting enterocolitis. 6. Part of ileum were also aganglionic in five cases. There seems to be no pathognomonic barium enema findings in T.C.A.. But combination of these findings may suggest the possibility of T.C.A. T.C.A. should be considered in differential diagnosis of bowel obstruction in infants. Barium enema should be complete and dela ed films always be obtained.