Ghossain M A, Buy J N, Bazot M, Haddad S, Guinet C, Malbec L, Hugol D, Truc J B, Poitout P, Vadrot D
Department of Radiology, Hôtel Dieu de Paris, France.
J Comput Assist Tomogr. 1994 Jul-Aug;18(4):619-25. doi: 10.1097/00004728-199407000-00020.
Our goal was to determine the CT and US aspects of the fallopian tube in adnexal torsion.
The CT scans and US studies of 10 patients with surgically proven unilateral torsion of the adnexa were reviewed.
On CT the fallopian tube on the involved side was identified in eight cases as an almost tubular or comma-shaped structure extending from the uterine cornua and covering partially the adnexal mass. This tube was significantly thickened and measured 20-40 mm. Hemorrhage (density > or = 50 HU on precontrast CT scans) was present in the tube in six patients. A heterogeneous contrast agent uptake was detected in the tube in five patients. An adnexal mass was visualized on the involved side in all patients, with hemorrhage in the mass in four patients. Peritoneal fluid and/or ileus were present in six patients. On US an echogenic structure that corresponded to the enlarged tube visualized on CT was detected in three cases and an adnexal mass in all cases.
Thickening of the fallopian tube with hemorrhage could be detected by CT and is suggestive of torsion especially if associated with an adnexal mass.
我们的目标是确定附件扭转时输卵管的CT和超声表现。
回顾了10例经手术证实为单侧附件扭转患者的CT扫描和超声检查结果。
在CT上，8例患侧输卵管表现为从子宫角延伸并部分覆盖附件包块的近似管状或逗号形结构。该输卵管明显增粗，直径达20 - 40毫米。6例患者的输卵管内有出血（增强前CT扫描密度≥50 HU）。5例患者的输卵管内检测到造影剂摄取不均匀。所有患者患侧均可见附件包块，4例包块内有出血。6例患者有腹腔积液和/或肠梗阻。在超声检查中，3例检测到与CT上显示的增粗输卵管相对应的高回声结构，所有病例均可见附件包块。
CT可检测到输卵管增粗并伴有出血，提示扭转，尤其是伴有附件包块时。
