Epiploic appendagitis should be considered to be an uncommon cause of lower abdominal pain. To diagnose accurately, typical CT findings are needed, and total colonoscopy should be done later to rule out the possibilit...Epiploic appendagitis should be considered to be an uncommon cause of lower abdominal pain. To diagnose accurately, typical CT findings are needed, and total colonoscopy should be done later to rule out the possibility of diverticulosis.展开更多
目的:探讨多排螺旋CT(MDCT)对女性下腹部痛(lower abdominal pain in women,LAPW)的诊断价值,并对典型影像表现进行总结。材料与方法:收集391例下腹疼痛女性患者CT资料,对比影像结果与手术、随访结果,并总结常见疾病的影像表现。结果:C...目的:探讨多排螺旋CT(MDCT)对女性下腹部痛(lower abdominal pain in women,LAPW)的诊断价值,并对典型影像表现进行总结。材料与方法:收集391例下腹疼痛女性患者CT资料,对比影像结果与手术、随访结果,并总结常见疾病的影像表现。结果:CT阳性结果共294例(75.2%),其中250例病人给出明确诊断(63.9%),44例提示异常征象(11.3%)。确诊病例包括妇科疾病66例,胃肠道疾病173例,输尿管结石11例。结论:MDCT可清晰显示下腹部器官组织的解剖结构及病理变化,对LAPW病因的快速诊断及鉴别诊断具有重要价值。MDCT对LAPW的诊断价值应该得到重视。展开更多
<strong>Background:</strong> Bilateral Ectopic Kidney is uncommon and usually diagnosed during a routine medical checkup. It could be misdiagnosed as an abdominopelvic mass. In-depth knowledge of its prese...<strong>Background:</strong> Bilateral Ectopic Kidney is uncommon and usually diagnosed during a routine medical checkup. It could be misdiagnosed as an abdominopelvic mass. In-depth knowledge of its presentation will aid in its management. A poor anatomical relation of the kidneys with other abdominopelvic organs could lead to renal complications and surgical errors. This is of gynaecological importance and worthy of discussion for a lady of her reproductive age. <strong>Case presentation:</strong> A 20-year-old nulliparous lady of African descent presented with a long-standing history of dull lower abdominal pain. The pain has been intermittent and occasionally associated with a sensation of movement in the lower abdomen. She has a regular and normal menstrual cycle and has no lower urinary tract symptoms. Physical examination was unremarkable with intact secondary sexual characteristics. The abdomen was soft, non-tender and without any organomegaly. Abdominal ultrasonography, renal pyelogram and urinalysis were carried out after her consent was sought in accordance with the institution’s protocol. Urine analysis was normal and culture was negative. However further imaging revealed a bilateral pelvic ectopic kidney. <strong>Conclusion:</strong> Most of the cases reported are usually unilateral ectopic kidneys. It is, therefore, our belief that this information will be useful to medical practitioners such as surgeons, urologists, radiologists and gynaecologists. Such a diagnosis will enable clinicians to follow up with the client and preserve the renal function whiles preventing iatrogenic injuries during surgical procedures.展开更多
文摘Epiploic appendagitis should be considered to be an uncommon cause of lower abdominal pain. To diagnose accurately, typical CT findings are needed, and total colonoscopy should be done later to rule out the possibility of diverticulosis.
文摘目的:探讨多排螺旋CT(MDCT)对女性下腹部痛(lower abdominal pain in women,LAPW)的诊断价值,并对典型影像表现进行总结。材料与方法:收集391例下腹疼痛女性患者CT资料,对比影像结果与手术、随访结果,并总结常见疾病的影像表现。结果:CT阳性结果共294例(75.2%),其中250例病人给出明确诊断(63.9%),44例提示异常征象(11.3%)。确诊病例包括妇科疾病66例,胃肠道疾病173例,输尿管结石11例。结论:MDCT可清晰显示下腹部器官组织的解剖结构及病理变化,对LAPW病因的快速诊断及鉴别诊断具有重要价值。MDCT对LAPW的诊断价值应该得到重视。
文摘<strong>Background:</strong> Bilateral Ectopic Kidney is uncommon and usually diagnosed during a routine medical checkup. It could be misdiagnosed as an abdominopelvic mass. In-depth knowledge of its presentation will aid in its management. A poor anatomical relation of the kidneys with other abdominopelvic organs could lead to renal complications and surgical errors. This is of gynaecological importance and worthy of discussion for a lady of her reproductive age. <strong>Case presentation:</strong> A 20-year-old nulliparous lady of African descent presented with a long-standing history of dull lower abdominal pain. The pain has been intermittent and occasionally associated with a sensation of movement in the lower abdomen. She has a regular and normal menstrual cycle and has no lower urinary tract symptoms. Physical examination was unremarkable with intact secondary sexual characteristics. The abdomen was soft, non-tender and without any organomegaly. Abdominal ultrasonography, renal pyelogram and urinalysis were carried out after her consent was sought in accordance with the institution’s protocol. Urine analysis was normal and culture was negative. However further imaging revealed a bilateral pelvic ectopic kidney. <strong>Conclusion:</strong> Most of the cases reported are usually unilateral ectopic kidneys. It is, therefore, our belief that this information will be useful to medical practitioners such as surgeons, urologists, radiologists and gynaecologists. Such a diagnosis will enable clinicians to follow up with the client and preserve the renal function whiles preventing iatrogenic injuries during surgical procedures.
