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CT成像在预测卵巢扭转中的应用：两例报告，有梗死与无梗死情况

CT Imaging in Predicting Ovarian Torsion: Report of Two Cases, With and Without Infarction.

作者信息

Singh Sweta, Sasmal Prakash K, Nagarajan Krishnan

机构信息

Obstetrics and Gyenacology, All India Institute of Medical Sciences, Bhubaneswar, IND.

General Surgery, All India Institute of Medical Sciences, Bhubaneswar, IND.

出版信息

Cureus. 2021 Aug 11;13(8):e17082. doi: 10.7759/cureus.17082. eCollection 2021 Aug.

DOI:10.7759/cureus.17082
PMID:34527469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8432481/
Abstract

Ovarian torsion is one of the common abdominal and gynecologic surgical emergencies with serious morbidity in the form of ovarian infarct or necrosis. Various imaging modalities like USG, CT, and MRI have been used in the evaluation of ovarian torsion. Two middle-aged females presented with lower abdominal pain. Imaging showed an ovarian cystic lesion in the first patient and thickened and twisted ovarian pedicle or 'helical swirling' sign in the second. Intraoperatively, the first case turned out to be a 180* twist with mild ovarian edema and the second showed more than 720* torsion with ovarian infarction. The CT findings of twisted pedicle with pericystic fat stranding might be predictive of hemorrhagic infarction in cases of torsion.

摘要

卵巢扭转是常见的腹部和妇科外科急症之一，会导致卵巢梗死或坏死等严重并发症。超声、CT和MRI等多种影像学检查手段已用于评估卵巢扭转。两名中年女性因下腹部疼痛就诊。影像学检查显示，第一名患者有卵巢囊性病变，第二名患者卵巢蒂增粗、扭转，即出现“螺旋状漩涡”征。术中发现，第一例为180°扭转，伴有轻度卵巢水肿；第二例扭转超过720°，伴有卵巢梗死。卵巢蒂扭转伴囊肿周围脂肪条索状影的CT表现可能提示扭转病例存在出血性梗死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/242be2462c1e/cureus-0013-00000017082-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/2ff051e0e59f/cureus-0013-00000017082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/e54699f82a64/cureus-0013-00000017082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/544922ee0446/cureus-0013-00000017082-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/fbf8e7fd47e0/cureus-0013-00000017082-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/eca90b01795d/cureus-0013-00000017082-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/242be2462c1e/cureus-0013-00000017082-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/2ff051e0e59f/cureus-0013-00000017082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/e54699f82a64/cureus-0013-00000017082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/544922ee0446/cureus-0013-00000017082-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/fbf8e7fd47e0/cureus-0013-00000017082-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/eca90b01795d/cureus-0013-00000017082-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/679b/8432481/242be2462c1e/cureus-0013-00000017082-i06.jpg

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J Emerg Med. 2018 Aug;55(2):e43-e45. doi: 10.1016/j.jemermed.2018.01.006. Epub 2018 Feb 17.
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Diagnostic performance of CT signs for predicting adnexal torsion in women presenting with an adnexal mass and abdominal pain: A case-control study.CT 征象对女性附件肿块伴腹痛患者附件扭转的诊断性能：病例对照研究。
Eur J Radiol. 2018 Jan;98:75-81. doi: 10.1016/j.ejrad.2017.11.004. Epub 2017 Nov 9.
3
What every radiologist should know about adnexal torsion.
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4
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Jpn J Radiol. 2015 Aug;33(8):487-93. doi: 10.1007/s11604-015-0452-z. Epub 2015 Jun 29.
5
Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department.卵巢扭转：一项病例对照研究，比较超声检查和计算机断层扫描在急诊科诊断中的敏感性和特异性。
Eur J Radiol. 2014 Apr;83(4):733-8. doi: 10.1016/j.ejrad.2014.01.001. Epub 2014 Jan 8.
6
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