CT and MR Imaging of Gynecologic Emergencies
| Autor: | Kimei Azama, Tsuneo Yamashiro, Sadayuki Murayama, Rin Iraha, Yoichi Aoki, Masahiro Okada, Yuko Iraha, Maho Tsubakimoto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
030218 nuclear medicine & medical imaging 03 medical and health sciences Massive ovarian edema 0302 clinical medicine Pelvic inflammatory disease Humans Medicine Radiology Nuclear Medicine and imaging Uterine leiomyoma medicine.diagnostic_test business.industry Magnetic resonance imaging Paraovarian cyst medicine.disease Magnetic Resonance Imaging Uterine Disorder 030220 oncology & carcinogenesis Female Fallopian tube torsion Radiology Emergencies Differential diagnosis Tomography X-Ray Computed business Genital Diseases Female |
| Zdroj: | RadioGraphics. 37:1569-1586 |
| ISSN: | 1527-1323 0271-5333 |
| DOI: | 10.1148/rg.2017160170 |
| Popis: | Gynecologic emergencies include various diseases that result from adnexal and uterine disorders. Adnexal disorders may be classified into the following three categories: (a) disorders that cause hemorrhage (hemorrhagic ovarian cysts and ectopic pregnancies); (b) disorders related to adnexal tumors (adnexal torsion and rupture of ovarian tumors); and (c) disorders related to pelvic inflammatory disease, such as tubo-ovarian abscesses. Unusual adnexal torsion, such as massive ovarian edema, isolated fallopian tube torsion, and paraovarian cyst torsion, has also been described. Uterine disorders in gynecologic emergencies may be classified into two categories: (a) acute fibroid complications, including red degeneration of a uterine leiomyoma, torsion of subserosal myomas, and torsion of the uterus; and (b) causes of acute uterine bleeding, including retained products of conception and uterine arteriovenous malformations. Some gynecologic diseases are self-limited, while others cause infertility or life-threatening infection or bleeding if left untreated. Therefore, prompt and accurate diagnosis is important for appropriate life-saving treatment and for the preservation of fertility. The imaging findings are important when evaluating acute gynecologic diseases because the symptoms and physical examination findings are often nonspecific and limited. Ultrasonography is the first-line imaging modality; however, when a definitive diagnosis cannot be established, computed tomography (CT) and magnetic resonance (MR) imaging may narrow the differential diagnosis. Appropriate management requires radiologists to be familiar with the CT and MR imaging features of gynecologic emergencies. With respect to rare conditions, radiologists should take into account the representative findings presented in this article to increase diagnostic accuracy. ©RSNA, 2017. |
| Databáze: | OpenAIRE |
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