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A. Πετρουλάκης, & συν. - Ρήξη κύστης ωοθήκης: η συμβολή της υπολογιστικής τομογραφίας στην άμεση διάγνωση
Εικόνα 3:
Στην ΥΤ κοιλίας α-
πεικονίζονται: Εικόνα κυστι-
κού μορφώματος στην ανα-
τομική θέση του δεξιού πα-
ραμητρίου με ανώμαλα σχετι-
κά τοιχώματα, με αιμορραγι-
κή συλλογή στον παρακείμε-
νο χώρο. Συλλογές υγρού δι-
αφορετικής πυκνότητας στην
ελάσσονα πύελο, εικόνα συμ-
βατή με αιμοπεριτόναιο δια-
φορετικής ηλικίας.
Purpose:
To evaluate the role of computed tomog-
raphy in the diagnosis of ruptured ovarian cyst and
demonstrate the imaging findings.
Materials and methods:
We report the cases of
six women who presented to the emergency depart-
ment of our hospital with acute abdominal pain. All
patients underwent CT scan.
Results:
CT scan revealed abnormal cystic forma-
tions in the right adnexal region in four patients and in
the left adnexal region in two patients. The presence
of a cyst with impaired structure in the adnexal region
was considered to be the principle imaging finding for
the diagnosis of ruptured ovarian cyst. Specifically, the
distortion of the cystic structure was present either as an
interruption of the cyst wall, or as intracystic hemorrhage,
or as a focal projection mimicking a diverticulum. In
five out of six cases an hemoperitoneum was depicted.
Conclusion:
CT scan contributes to the differential
diagnosis of acute abdominal pain in patients with
ruptured ovarian cyst and to the preoperative evalu-
ation where surgery is indicated.
Keywords:
ruptured ovarian cyst, abdominal pain,
hemoperitoneum
CT Department of Sismanogleio Hospital
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