CT diagnosis of tubal pregnancy in 1 case and review of literature.docVIP

 PAGE \* MERGEFORMAT 4 CT diagnosis of tubal pregnancy in 1 case and review of literature Study: Zhou Yan Zhang Jianyong, to Hennessy, Li Yumei, Gu Shunguang [Keywords:] tubal pregnancy A medical record Patients, female, 38 years old, sudden right lower abdominal pain 1 day, was pain, usually irregular menstruation, the last menstrual period is unclear. Body temperature of 37.3 ℃, pulse 84 times / min, breathing 24 times / min, blood pressure 110/70 mmHg. Abdominal examination: slightly bulging belly, lower abdominal tenderness, rebound tenderness and muscle tension, shifting dullness positive bowel sounds weak, I was no exception. gynecological examination: vaginal smooth, dark red blood, after the dome tenderness, cervical Ⅱ degree of erosion, give pain, obviously, Palace anterior, slightly larger, the quality, the activities can be, light tenderness, bilateral annex unclear palpation and vaginal fornix after the needle out of 8 ml blood was. B-Tip right back real uterine of mass: (1 ectopic pregnancy, (2 inflammatory mass, a large number of fluid Palace weeks. CT examination: plain on the right see a gourd-shaped annex areas even higher density of film, CT is approximately 70 HU (Figure 1, enhanced scan showed no enhancement, but the local saw a video showed ring enhancement (Figure 2, the uterus increases markedly, the outer contour finishing, homogeneous enhancement of uterine wall, and its uniform density within the (suspected clotting, pelvic see a lot of liquid density shadow, no abnormal tissue pelvic wall. CT diagnosis: consider the right side of the tubal pregnancy, hemoperitoneum may be combined. surgery and pathology: the right ampullary tubal pregnancy, rupture, hemorrhage with abdominal old 300 ml. 2 discussed the most common gynecological ectopic pregnancy is one of the acute abdomen, if not timely diagnosis and emergency treatment can be life-threatening .95% to 98% of ectopic pregnancies occur in the fallopian tube. In tubal