卵巢扭曲伪装成尿道结石
Spencer Prete1, Micaela Abbomerato1, Erin L Simon2
1Cleveland Clinic Akron General, Department of Emergency Medicine, 1 Akron GeneralAve., Akron, OH 44307, USA.
The American journal of emergency medicine
|December 10, 2023
概括
卵巢扭曲是一种妇科紧急情况,可能导致突然的腹痛. 患有腹部疾病的女性早期考虑至关重要,以防止卵巢和输卵管的损失.
科学领域:
- 紧急医疗 紧急医疗
- 妇科 妇科 妇科 妇科
- 放射学 放射学是一门学科.
背景情况:
- 腹部疼痛是急诊室常见的抱怨,原因多种多样.
- 卵巢扭曲,虽然在妇科紧急情况中很少见,但在患有腹部或骨盆疼痛的女性中需要考虑.
- 延迟诊断可能导致显著的发病率,包括生殖器官的损失.
研究的目的:
- 突出考虑卵巢扭曲在女性腹痛差异诊断中的重要性.
- 为了呈现一个由皮质囊引起的卵巢扭转病例.
主要方法:
- 一个38岁的女性病例报告显示,她出现了急性腹痛,恶心和吐.
- 最初的诊断工作包括实验室测试和计算机断层扫描 (CT) 成像.
- 盆腔超声波证实了怀疑的卵巢扭曲,导致手术干预.
主要成果:
- 计算机断层扫描 (CT) 显示出一个大额质 (9厘米),暗示皮质囊.
- 盆腔超声波表明可能的卵巢扭曲.
- 手术腹腔镜证实了卵巢扭曲,需要右侧卵巢切除和切除.
结论:
- 这一案例强调了必须将卵巢扭曲纳入女性出现腹痛的差异诊断中的必要性.
- 及时识别和管理对于保持卵巢功能和预防并发症至关重要.
- 皮质囊可能是卵巢扭曲的诱导因素.
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