Hönigl W
Geburtshilflich-gynäkologische Universitätsklinik Graz.
Ultraschall Med. 1997 Feb;18(1):42-5. doi: 10.1055/s-2007-1000515.
A 25 year-old woman presented with left lower quadrant pain in the 11th week of gestation. Transvaginal sonography showed a 7 x 8 x 5 cm cystic-solid mass with an adjacent 9 mm echogenic structure on the left side corresponding to the adnexal stalk. Color Doppler sonography revealed the absence of central or peripheral flow within the mass suggestive of adnexal torsion and subsequent infarction. Laparoscopic detorsion of the left adnexa was not followed by restoration of perfusion ad a left adnexectomy was performed. Transvaginal color Doppler sonography is useful for preoperative diagnosis of adnexal torsion.
一名25岁女性在妊娠11周时出现左下腹疼痛。经阴道超声检查显示一个7×8×5厘米的囊实性肿块，左侧有一个9毫米的强回声结构，对应附件蒂。彩色多普勒超声检查显示肿块内无中央或周边血流，提示附件扭转及随后的梗死。左侧附件腹腔镜扭转复位术后未恢复灌注，遂行左侧附件切除术。经阴道彩色多普勒超声检查对附件扭转的术前诊断有用。
