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胚胎学知识如何帮助放射科医生对 Nuck 管病变进行鉴别诊断。

How embryology knowledge can help radiologists in the differential diagnosis of canal of Nuck pathologies.

机构信息

Diagnostic Imaging Department, San Paolo Hospital-ASL 2, via Genova, 30, Savona, Italy.

Department of Health Sciences (DISSAL), University of Genova, via A. Pastore 1, 16132, Genova, Italy.

出版信息

Radiol Med. 2021 Jul;126(7):910-924. doi: 10.1007/s11547-021-01361-9. Epub 2021 May 5.

Abstract

The Canal of Nuck (CN) is an anatomical structure which is often forgotten. It is the female equivalent of the male processus vaginalis and corresponds to a protrusion of parietal peritoneum that extends from the inguinal canal to labia majora. Radiologists rarely encounter patients with pathology of CN, especially in adult population. It is well known that CN diseases can occur in paediatric patient (especially younger than 5 years of age) and they are associated to high morbidity (for example ovarian hernia with high risk of incarceration and torsion). The aim of our work is to review embryology, anatomy and pathologies of the CN thanks to a multi modal approach-ultrasound (US), Computed Tomography (CT) and Magnetic Resonance imaging (MRI)-to make radiologists more aware of such conditions and guarantee a prompt and correct diagnosis not only in paediatric patients but also in the adult population.

摘要

努克管(CN)是一种常被遗忘的解剖结构。它是男性鞘状突的女性对应物,对应于从腹股沟管延伸到大阴唇的壁层腹膜的突起。放射科医生很少遇到 CN 病变的患者,尤其是在成年人群中。众所周知,CN 疾病可发生在儿科患者(尤其是年龄小于 5 岁的患者)中,并且它们与高发病率相关(例如卵巢疝,有很高的嵌顿和扭转风险)。我们的工作旨在通过多模态方法(超声(US),计算机断层扫描(CT)和磁共振成像(MRI))来研究 CN 的胚胎学、解剖学和病理学,使放射科医生更加了解这些情况,并不仅在儿科患者,而且在成年人群中都能保证及时和正确的诊断。

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