Abscess on the fallopian tubes and ovaries diagnostic ultrasound and spiral CT.docVIP

 PAGE \* MERGEFORMAT 10 Abscess on the fallopian tubes and ovaries diagnostic ultrasound and spiral CT [Keywords:] Ultrasound spiral CT tubal ovarian abscess Tubal abscess (fallopian tube abscess, FTA), tubal ovarian abscess (tuboovarian abscess, TOA) is an acute pelvic inflammatory disease, requires a definite diagnosis as quickly as possible, to take treatment measures to control the spread of infection. Most of pelvic inflammatory disease based on clinical manifestations and ultrasonographic Check (ultrasonography, US) can be diagnosed, but some part of the clinical symptoms not typical, requires the use of spiral CT (spiral computed tomography, SCT) and other identification checks and other diseases. This paper reviews the analysis of 20 cases of tubal abscess, tubal ovarian abscess US and SCT data to study the characteristics of the image. Subjects and methods 1. Target: October 2003 to December 2007, US and SCT in our hospital examination, confirmed by surgery and tubal pathology of 20 patients with ovarian abscess. Age 22 to 53 years, mean 38.2 years old. 2. The clinical manifestations and diagnosis: a lower abdominal pain accounted for 85% (17/20), in which acute onset of lower abdominal pain, duration of 7 ~ 10 d 8 cases of chronic process 2 to 7 months 9 patients without abdominal pain and discomfort accounted for 15% (3 / 20). 2 patients with previous history of pelvic inflammatory disease, 7 d after the induction of labor in 1 case after lower abdominal pain, acute appendicitis, intermittent lower abdominal pain after six months in 1 case, no significant incentive to lower abdominal pain in 13 cases, 3 patients had vaginal discharge, 3 patients under conscious abdominal mass and physical examination found pelvic masses, but no clinical symptoms. accompanied by fever and leukocytosis in 8 cases, clinical diagnosis of acute pelvic infection. urinary frequency, urgency, dysuria, bowel difficulties in 7 cases, clinical diagnosis of pelvi