Cheong Elizabeth Hui Ting, Tan Tien Jin, Wong Kang Min
Department of Radiology, Changi General Hospital, Singapore.
J Radiol Case Rep. 2018 Apr 30;12(4):6-14. doi: 10.3941/jrcr.v12i4.3360. eCollection 2018 Apr.
Uterine torsion is a rare condition which is part of a spectrum of gynecological emergencies. If diagnosis is delayed or the condition is left untreated, severe consequences such as infertility and life-threatening complications can arise. As presenting features are often non-specific and can be similar to commonly encountered gastrointestinal and urinary conditions, computed tomography is usually the first imaging modality utilized in an emergency setting. It is therefore important that the radiologist is familiar with recognizing computed tomography features of uterine torsion. We share our findings in a patient with uterine torsion in a non-gravid uterus, diagnosed on contrast-enhanced computed tomography with multiplanar reconstruction.
子宫扭转是一种罕见的病症,属于一系列妇科急症的一部分。如果诊断延迟或病情未得到治疗,可能会出现诸如不孕和危及生命的并发症等严重后果。由于其临床表现往往不具特异性,且可能与常见的胃肠道和泌尿系统疾病相似,计算机断层扫描通常是急诊情况下首先使用的成像方式。因此,放射科医生熟悉识别子宫扭转的计算机断层扫描特征非常重要。我们分享一例非妊娠子宫发生子宫扭转患者的检查结果,该病例通过增强计算机断层扫描及多平面重建得以诊断。