膨らんだ膀 と 誤って 診断 さ れ た 巨大 卵巣 胞: 症例 報告
Filipa Caires1, Catarina Ornelas1, Mariana Andrade1
1Caniço Health Center, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira (SESARAM), Funchal, PRT.
Cureus
|September 4, 2025
まとめ
巨大な卵巣内結胞は 稀な骨盤組織です このケースは診断上の課題を強調し,無症状の患者でも骨盤腫の婦人科的原因を考慮することを強調しています.
科学分野:
- 婦人科腫瘍学
- 放射線科
- 外科病理学
背景:
- パラオヴァリアン・キスト (PCs) は,異常な添加体質です.
- 巨大な卵巣膜胞 (> 150 mm) は非常にまれである.
- 非特異的な症状や症状の欠如により,臨床診断は困難である.
研究 の 目的:
- 巨大な卵巣内閉塞のケースを紹介する
- 診断の課題と多学科アプローチの重要性を説明する.
- 骨盤質量差異診断において婦人科病因を考慮することを強調する.
主な方法:
- 症例報告 22歳の女性 無症状で 骨盤に大きな塊がある
- 診断には腹部超音波検査,神経軸MRI検査,尿動力学検査,腹部皮質CT検査が含まれていた.
- 最終的な診断は,骨盤のMRIと,その後の腹腔切開と,組織病理学的分析によって確認された.
主要な成果:
- 最初の診断は 膀の膨張だった
- 画像検査で大きな腹部骨盤の塊が 見つかりました 初めは 卵巣のキストか 腫瘍の境界線だと疑われていました
- 巨型卵巣膜腫の最終診断は手術後に確認された.
結論:
- 骨盤の質量を特定するには 徹底した身体検査が不可欠です
- 症状のない個体でも,婦人科病変の高い疑い指数が必要である.
- マルチモダリティー画像と体系的な診断アプローチは,希少な副病変の正確な診断に役立ちます.
さらに関連する動画
10:19Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
19.4K
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
7.8K
関連する概念動画
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
105
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
105
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
329
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
329
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
221
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
221
01:23Urinary Bladder
1.4K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.4K
01:22Appendicitis-I: Introduction
589
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
589
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
39
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
39