Villalba Martha L, Huynh Bang, So Minna, Mackenzie John D, Ledbetter Stephen, Rybicki Frank
Department of Emergency Medicine, Advocate Christ Hospital and Medical Center, Oak Lawn, Illinois 60453, USA.
J Emerg Med. 2005 Nov;29(4):443-6. doi: 10.1016/j.jemermed.2005.05.012.
An otherwise healthy young woman presented to the Emergency Department with abdominal pain. Multiple diagnoses were considered, as must be in cases of women with lower quadrant abdominal pain. Rapid identification of an abnormally enlarged ovary in close proximity to the opposite ovary on pelvic ultrasonography suggested the diagnosis of ovarian torsion. This was verified on laparoscopy. Of note is the fact that normal Doppler flow to both ovaries was demonstrated on pelvic ultrasound. We present this case, and its associated images, with the intent to highlight a readily identifiable sign of ovarian torsion for emergency physicians and to briefly review ovarian torsion's salient clinico-pathologic features.
一名原本健康的年轻女性因腹痛被送往急诊科。如同所有下腹部疼痛的女性病例一样，需要考虑多种诊断。盆腔超声检查发现一侧卵巢异常肿大且紧邻对侧卵巢，这提示了卵巢扭转的诊断。腹腔镜检查证实了这一诊断。值得注意的是，盆腔超声显示双侧卵巢的多普勒血流均正常。我们展示该病例及其相关图像，旨在为急诊医生突出一种易于识别的卵巢扭转征象，并简要回顾卵巢扭转的主要临床病理特征。
