|
Diagnostic Role of Hyperechoic Fatty Tissue at Ultrasonography in Women with Acute Pelvic Pain |
|
Seong Jin Park, MD Boem Ha Yi, MD, Hae Kyung Lee, MD, Hyun Sook Hong, MD, Hyun Cheol Kim, MD2 |
|
1Department of Radiology, Soonchunhyang University Hospital Bucheon 2Department of Diagnostic Radiology, Kyung Hee University East-West Neo-medicine Hospital |
|
Purpose: The aim of this study was to determine whether hyperechoic fatty tissue
(HFT) at transabdominal and transvaginal ultrasonography in women with acute pelvic
pain has a diagnostic role.
Materials and Methods: We studied 201 women (mean age, 32 years) with acute
pelvic and lower abdominal pain; we performed ultrasonography (US) in all them. Of
the 201, 94 with gynecological problems were included., They were divided into two
groups: with pelvic inflammatory disease (PID; n = 45) and without PID (n = 49). We
evaluated the presence and distribution of HFT and its role in differential diagnosis
between PID and non-PID groups.
Results: We found, using US, HFT in 36/45 (80%) patients with PID by US. Of the
36, single-center HFT was observed in 12/36 (33.3%) patients and multicentric HFT
was detected in 24/36 (66.7%). HFT was present adjacent to inflammatory foci, tuboovarian
abscesses or inflamed salpinx in 30 women; HFT was present outside the
pelvic cavity in 24. Among the latter 24, HFT was present only in the lower abdomen,
and not in the pelvic cavity in 6. In the non-PID group, HFT was found in the lower
abdomen and pelvic cavity in 7 women. Four of the seven were misdiagnosed with
PID. One of seven women with a hemorrhagic corpus luteal cyst rupture with underlying
PID and two with ectopic pregnancy with HFT were correctly diagnosed.
Conclusion: The presence of HFT may be a reliable US finding for the diagnosis of
PID. HFT distinguishes PID from other acute gynecological problems. |
|
Keyword : Pelvis; Ultrasound; Genital/Reproductive; Inflammation Hemorrhage |
|
pdf파일 : 231박성진.pdf
|
|