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卵巢囊肿蒂扭转。一例罕见的持续性腹痛病例。

Entrapped ovarian cyst. An unusual case of persistent abdominal pain.

作者信息

Hederström E, Forsberg L

机构信息

Department of Diagnostic Radiology, University Hospital, Sweden.

出版信息

Acta Radiol. 1990 May;31(3):285-6.

PMID:2201330
Abstract

Recurrent abdominal pain in the left fossa often mimicking attacks of subileus is described in a woman aged 48 with extensive adhesions caused by multiple surgical procedures. Repeated examinations with conventional abdominal radiography and barium meals were negative with regard to mechanical intestinal obstruction. A cystic lesion varying in size from 2 to 8 cm in diameter was seen adjacent to the left ovary on repeat US examinations and also on CT. Pain episodes were sometimes correlated to increasing size of the lesion which was finally thought to be either a peritoneal inclusion cyst (fluid trapped between pelvic adhesions) or, as was finally confirmed at surgery, a true ovarian cyst (corpus luteum cyst) similarly trapped.

摘要

一名48岁女性,因多次外科手术导致广泛粘连,出现左下腹反复腹痛,常类似肠梗阻发作。常规腹部X线造影和钡餐检查均未发现机械性肠梗阻。超声复查及CT检查均显示左侧卵巢旁有一个直径2至8厘米不等的囊性病变。疼痛发作有时与病变增大有关,该病变最终被认为要么是腹膜包涵囊肿(盆腔粘连间 trapped的液体),要么如手术最终证实的那样,是一个同样被困住的真性卵巢囊肿(黄体囊肿)。 (注:原文中“fluid trapped between pelvic adhesions”处“trapped”含义不明确,推测为“潴留”之类意思,但不确定,按原文翻译)

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