Wan Y L, Ko S F, Ng K K, Cheung Y C, Lui K W, Wong H F
Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, School of Medicine, Chang Gung University, 5 Fusing Road, Taoyuan Hsien, Taiwan, Republic of China.
Abdom Imaging. 2004 Nov-Dec;29(6):713-5. doi: 10.1007/s00261-004-0172-9. Epub 2004 Jun 8.
A 66-year-old woman with previous hysterectomy had dysuria and vaginal spotting for 1 month. Computed tomography showed a heterogeneous presacral mass with eccentric calcification. Biopsies of the bladder and vagina and transrectal biopsy of the pelvic mass yielded only inflammation. T2-weighted magnetic resonance images revealed a heterogeneous mass with wavy hypointensities. Computed tomographically guided biopsy targeting at the calcified area disclosed thread-like materials, thus confirming the diagnosis of gossypiboma.
一名66岁曾行子宫切除术的女性出现排尿困难和阴道点滴出血1个月。计算机断层扫描显示骶前有一不均质肿块,伴有偏心钙化。膀胱和阴道活检以及盆腔肿块的经直肠活检仅显示炎症。T2加权磁共振成像显示一不均质肿块,有波浪状低信号。针对钙化区域进行的计算机断层扫描引导下活检发现了线状物质,从而确诊为棉籽瘤。