Hiller Nurith, Appelbaum Liat, Simanovsky Natalia, Lev-Sagi Ahinoam, Aharoni Dvora, Sella Tamar
Department of Radiology, Hadassah-Hebrew University Medical Center, PO Box 12227, Jerusalem, Israel, 91121.
AJR Am J Roentgenol. 2007 Jul;189(1):124-9. doi: 10.2214/AJR.06.0073.
Adnexal torsion is most commonly a clinical diagnosis, often aided by sonographic findings. At times, the clinical presentation can mimic nongynecologic causes of acute lower abdominal pain. In these cases, CT may be the initial imaging study. The purpose of this study was to define the CT features associated with adnexal torsion.
On CT, a well-defined adnexal mass abnormally located in the pelvis with ipsilateral deviation of the uterus in a woman or girl with lower abdominal pain should raise the suspicion of adnexal torsion. Inflammatory signs on CT suggest the presence of necrosis.
附件扭转通常是一种临床诊断，常借助超声检查结果。有时，临床表现可能会模仿急性下腹痛的非妇科病因。在这些情况下，CT可能是初始的影像学检查。本研究的目的是确定与附件扭转相关的CT特征。
在CT上，对于下腹痛的女性或女孩，盆腔内有一个边界清晰的附件肿块且子宫向同侧移位，应怀疑附件扭转。CT上的炎症征象提示存在坏死。
