Department of Radiology, Albany Medical Center, Albany, NY, USA.
HPB (Oxford). 2001;3(4):263-6. doi: 10.1080/136518201753335430.
Surgical procedures may alter normal anatomy, confounding the interpretation of cross-sectional imaging studies. This problem is greater if neither a relevant history nor previous comparison studies are available.
In a 29-year-old woman submitted to radical hysterectomy for cervical carcinoma, one ovary was surgically repositioned into the right paracolic gutter out of the radiation field. This ovary simulated a hepatic metastasis on subsequent CT examinations. History was obscure, adding to the interpretive challenge.
Clues to establishing the correct diagnosis are presented. The availability of an adequate history and previous radiological images are important to prevent diagnostic error.
外科手术可能会改变正常解剖结构，从而使对横截面成像研究的解释变得复杂。如果没有相关病史或以前的比较研究，这个问题就更大了。
一位 29 岁的女性因宫颈癌接受根治性子宫切除术，一侧卵巢被手术重新定位到射线场外的右侧结肠旁沟。这个卵巢在随后的 CT 检查中模拟了肝转移。病史不明确，增加了解释的难度。
提出了确定正确诊断的线索。获得充分的病史和以前的影像学图像对于防止诊断错误非常重要。
