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留置手术海绵经壁迁移的影像学表现:一例报告

Imaging of transmural migration of a retained surgical sponge: a case report.

作者信息

Yeung Kwok-Wan, Chang Ming-Sung, Huang Jee-Fu

机构信息

Department of Radiology, Foo-Yin University Hospital, Tung Kang, Ping Tung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2004 Nov;20(11):567-71. doi: 10.1016/S1607-551X(09)70260-8.

Abstract

A 61-year-old woman who had undergone a hysterectomy 15 years before this presentation had suffered from intermittent abdominal pain and a palpable lower abdominal mass for 3 months. Plain roentgenography revealed a radiopaque mass with serpiginous density in the pelvic region. Sonography showed curvilinear hyperechogenicity with an acoustic shadow. A small-bowel series revealed a huge amorphous filling defect inside the ileum. Computed tomography showed that the mass was a spongiform object with a whirl-like appearance mixed with air and with peripheral calcification.

摘要

一位61岁女性,在此次就诊前15年接受过子宫切除术,3个月来一直遭受间歇性腹痛,下腹部可触及肿块。普通X线检查显示盆腔区域有一个密度呈蜿蜒状的不透X线肿块。超声检查显示曲线状高回声并伴有声影。小肠造影显示回肠内有一个巨大的不规则充盈缺损。计算机断层扫描显示该肿块是一个海绵状物体,呈漩涡状外观,混有气体,周边有钙化。

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Radiological diagnosis of retained surgical sponges.手术中遗留海绵的放射学诊断。
J Am Med Assoc. 1955 Dec 17;159(16):1525-7. doi: 10.1001/jama.1955.02960330025008.
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Retained surgical sponge: an unusual cause of intestinal obstruction.残留手术海绵:肠梗阻的罕见病因。
J Clin Gastroenterol. 1997 Jan;24(1):57-8. doi: 10.1097/00004836-199701000-00014.
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Transgastric migration of a surgical sponge.手术海绵的经胃迁移
J Clin Gastroenterol. 1997 Jan;24(1):55-7. doi: 10.1097/00004836-199701000-00013.
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The retained surgical sponge.遗留的手术海绵。
Ann Surg. 1996 Jul;224(1):79-84. doi: 10.1097/00000658-199607000-00012.
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Diagnosis of retained abdominal gauze swabs.腹腔内纱布拭子残留的诊断。
Br J Surg. 1995 Feb;82(2):227-8. doi: 10.1002/bjs.1800820232.

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