Hertzberg B S, Kliewer M A, Paulson E K
Duke University Medical Center, Department of Radiology, Box 3808, Room 24244B, Red Zone, South, Durham, NC 27710, USA.
Abdom Imaging. 1999 May-Jun;24(3):304-8. doi: 10.1007/s002619900502.
To describe the spectrum of imaging findings and clinical presentations produced after rupture and hemorrhage of an ovarian cyst.
Imaging studies and hospital records of nine patients who were ultimately diagnosed with hemoperitoneum from a ruptured ovarian cyst were reviewed and categorized.
Hemoperitoneum from a ruptured ovarian cyst presented a range of imaging findings. Although the imaging findings were dominated by hemoperitoneum, at least a vestige of the cyst could be identified in seven patients. The diagnosis of hemoperitoneum from a ruptured ovarian cyst was favored in only four of nine patients after the initial imaging study.
A ruptured ovarian cyst can produce massive hemoperitoneum, with clinical symptomatology and sonographic features that closely mimic those of other disorders, in particular ectopic pregnancy. Considering the likelihood of both clinical and radiologic misdiagnosis, the radiologist should consider and pursue the diagnosis of a ruptured hemorrhagic ovarian cyst in a woman of child-bearing age who presents with pelvic pain and a large amount of complicated intraperitoneal fluid.
描述卵巢囊肿破裂出血后产生的影像学表现及临床症状谱。
回顾并分类了9例最终诊断为卵巢囊肿破裂致腹腔积血患者的影像学检查及医院记录。
卵巢囊肿破裂致腹腔积血呈现出一系列影像学表现。尽管影像学表现以腹腔积血为主，但9例患者中有7例至少能识别出囊肿的残余部分。在初次影像学检查后，9例患者中仅有4例倾向于诊断为卵巢囊肿破裂致腹腔积血。
破裂的卵巢囊肿可导致大量腹腔积血，其临床症状和超声特征与其他疾病，尤其是异位妊娠极为相似。考虑到临床和放射学误诊的可能性，放射科医生应考虑并追查育龄期出现盆腔疼痛和大量复杂腹腔内积液的女性患者是否为出血性卵巢囊肿破裂。
