一名因腹膜后卵巢疝导致急性腹痛患者的CT、MRI及腹腔镜检查结果

CT, MRI and laparoscopy findings of a retroperitoneally herniated ovary causing acute abdominal pain.

作者信息

Hoogendam J P, Zweemer R P, Schaap T P, Schreuder H W R, Veldhuis W B

机构信息

Division Woman and Baby, Department of Gynaecological Oncology and Surgical Gynaecology, University Medical Center Utrecht, Utrecht, The Netherlands,

出版信息

Hernia. 2014;18(6):915-7. doi: 10.1007/s10029-013-1139-y. Epub 2013 Jul 19.

DOI:10.1007/s10029-013-1139-y

PMID:23868352

Abstract

We report a case of a young woman presenting with abdominal pain due to a rare and recurrent herniation of the ovary, to a retroperitoneal location lateral to the external iliac artery and directly dorsal to the iliopsoas muscle. Correlation between computed tomography, magnetic resonance imaging and laparoscopy is presented. The patient's complaints subsided after right oophoropexy. When aware, this diagnosis is easy to make and may allow symptomatic patients to be treated with laparoscopic oophoropexy.

摘要

我们报告一例年轻女性病例，该患者因罕见的复发性卵巢疝而出现腹痛，卵巢疝至髂外动脉外侧和髂腰肌正后方的腹膜后位置。本文展示了计算机断层扫描、磁共振成像和腹腔镜检查之间的相关性。患者在右侧卵巢固定术后症状缓解。一旦意识到这种诊断，就很容易做出诊断，并且可以让有症状的患者接受腹腔镜卵巢固定术治疗。