扭转卵巢的超声检查：尽管多普勒显示动脉和静脉血流正常，但灰阶表现具有特征性。
Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler.
作者信息
Hurh Peter J, Meyer James S, Shaaban Aimen
机构信息
Department of Radiology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399, USA.
出版信息
Pediatr Radiol. 2002 Aug;32(8):586-8. doi: 10.1007/s00247-002-0739-y. Epub 2002 May 25.
BACKGROUND
We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was found on Doppler US.
OBJECTIVE
To demonstrate the importance of gray-scale US findings despite the presence of blood flow found on Doppler US in salvaging a viable, torsed ovary.
METHODS
Despite the Doppler findings, a presumptive diagnosis of ovarian torsion was made.
RESULTS
Surgery confirmed the presence of a torsed ovary, which was viable and appeared normal after detorsion.
CONCLUSION
This case illustrates that the gray-scale US appearance of the ovary can be more reliable than Doppler US for the diagnosis of ovarian torsion.
背景
我们报告一例8岁急性发作间歇性下腹痛的女孩病例。灰阶超声检查显示右侧卵巢增大并伴有周边囊肿，提示卵巢充血，强烈提示扭转诊断。然而，多普勒超声检查发现动脉和静脉血流正常。
目的
尽管在多普勒超声检查中发现有血流，但仍要证明灰阶超声检查结果在挽救可存活的扭转卵巢方面的重要性。
方法
尽管有多普勒检查结果，但仍做出了卵巢扭转的初步诊断。
结果
手术证实存在扭转的卵巢，该卵巢在扭转解除后仍可存活且外观正常。
结论
该病例表明，在诊断卵巢扭转方面，卵巢的灰阶超声表现可能比多普勒超声更可靠。
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