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Misdiagnosed as ovarian cyst B-1 case report of urinary retention

Diagnosis (7 Chi l report). Radiology, 1988.22:341789 ChoiB1. etat. Caro] idisease: centraldotsigninCT. Radi-ology, 1990.174:161 (H draft Rights of: l998-07-12) said the main mistake DW eggs 1 B ovarian cyst misdiagnosed as urinary retention Cases Ultra Min. Wang Yulan Wang Huizhi cited, Lu. / 7 / / a 5 donkeys, Min. Mao: Lan Wang Huizhi. Cited, Lu. Patients, female, 24 years old sudden severe abdominal pain left 3 hours, to a nearby hospital x-ray examination: abdominal plain film no signs of gastrointestinal perforation and obstruction ultrasound B: bladder over-filling, the bottom is located below the belly button one refers to uterine size of 4.2cm × 3.7cm × 2.6cm. Normal shape, echo uniform, see the right side of the uterus 11.7cm diameter anechoic area. Ultrasound showed: urinary retention. Transferred to our hospital solid symptoms became worse. We immediately made the emergency B-examination, said: patients with endometriosis slightly left, shape,mac eyeshadow palette, size, no abnormal muscle echo uniform, intrauterine right ovary showed no abnormal clear, there is a small vesicle-like echo, a diameter of about 1 .5 cm. The left ovary showed clear, in the uterus and in front of a huge cystic explore the dark zone, enveloped (thinner). The sound is still clear through the area within the bladder shows small (Figure 1). Ultrasonic tips, a huge cystic mass in front of the uterus (the possibility of large attachments from the left). At this point we have to get in touch with the department of gynecology, see the B-diagnostic reports outside the hospital, to prevent urinary retention, large cyst,tory burch shoes, so the diagnosis: left ovarian cyst. patients with emergency surgery. intraoperative findings: normal-sized uterus, right ovary and fallopian tube were normal. left ovary, about 20cm × 16 × 8cm large cystic material, within the transparent liquid. encapsulated, about 720 degrees torsion pathological diagnosis: left ovarian mucinous cysts. discuss ovarian cysts are common benign gynecology. can occur at any age. 20 to 50 years old the most common. vast majority of ovarian cysts can be found by pelvic examination. B-ultrasound mainly as liquid echo-free zone. to the back analysis, as workers in the diagnosis of B-image. only to be familiar with the sonographic normal anatomical features, but also have the skilled scanning techniques. abnormal echo, the scan range should be appropriate to expand, and carry out a multi-faceted position of the probe and ultrasonic diagnostic imaging in patients with workers in the first row of the inverted B-ultrasound, when exploring the dark zone giant cystic pelvic , when the diagnosis is necessary to a high degree of attention,polo outlet online, according to patient symptoms, clinical results of comprehensive medical examination to determine, especially young women should ① 100730 Radiology, Beijing Hospital, Room @ Beijing ② B super-Ministry of Coal Industry Department of Radiology, General Hospital,mbt shoes sale, after referral Field 1 B-Scan said: Exploration of the uterus and in front of a huge cystic dark, crisp display a small eye (arrow indicates the bladder, since the triangle at the womb) under the Foley's catheter field after 2, B-scan showed the catheter r in the bladder in front of a huge cystic uterine dark area to the left ovarian cyst attachment (white triangle at the uterus) taking into account the gynecological aspects. located in the pelvic cystic dark area in the first identification with the bladder. the operator should be large-scale, multi-slice probe, to carefully observe the large dark areas of cystic relationship with the surrounding tissue. If the distinction between bladder problems. you can inject a small amount of saline from the catheter ultrasound further review, this method is simple, accurate positioning, also conducive to the differential diagnosis.
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