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Differential diagnosis of pelvic cystic lesions caused by hemorrhage from inflammatory abscess using CT attenuation in women with acute abdomen.

Sato K, Kajihara T, Miki A, Hirabayashi E, Shintani D, Niitsu M, Ishihara O, Itakura A - Nagoya J Med Sci (2015)

Bottom Line: The preoperative CT images of the tubo-ovarian cyst were retrospectively investigated on the basis of cyst attenuation.CT attenuation of the cyst measured by both two gynecologists could be used to clearly distinguish inflammatory disease with abscess formation from bleeding disease with hematoma.This may significantly contribute to making differential diagnosis without interpretation by a medical radiologist.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Saitama Medical University, Iruma-gun, Saitama, Japan.

ABSTRACT
To determine the efficacy of computed tomography (CT) attenuation of cystic lesions measured on an image browsing system to distinguish abscess from hematoma in women with acute abdomen. The medical records of female patients of reproductive age with acute abdomen who were treated over a 7-year period in a single center and who had undergone laparotomy or laparoscopic surgery and preoperative pelvic CT scanning were retrospectively analyzed to identify those with hematoma or abscess cyst formation. Nineteen patients with tubo-ovarian abscess (abscess group) and six patients with hematoma (hematoma group) formation in the pelvis were included in the analysis. The preoperative CT images of the tubo-ovarian cyst were retrospectively investigated on the basis of cyst attenuation. CT attenuation of the cyst measured by both two gynecologists could be used to clearly distinguish inflammatory disease with abscess formation from bleeding disease with hematoma. CT attenuation on a picture archiving and communication system can distinguish hematoma from abscess in women with acute abdomen. This may significantly contribute to making differential diagnosis without interpretation by a medical radiologist.

No MeSH data available.


Related in: MedlinePlus

CT attenuation of the abscess group (n = 19) and the hematoma group (n = 6) as measured by (A) a board-certified gynecologist and (B) a gynecology resident.
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fig3: CT attenuation of the abscess group (n = 19) and the hematoma group (n = 6) as measured by (A) a board-certified gynecologist and (B) a gynecology resident.

Mentions: On the other hand, CT attenuation that was measured by both the gynecologists could be used to clearly distinguish inflammatory disease with abscess formation (Figure 2A) from hemorrhagic disease with hematoma (Figure 2B). All cases of CT attenuation in the abscess group were below 40 HU (Hounsfield Number), and those in hematoma were higher than 60 HU (Figure 3A, B).


Differential diagnosis of pelvic cystic lesions caused by hemorrhage from inflammatory abscess using CT attenuation in women with acute abdomen.

Sato K, Kajihara T, Miki A, Hirabayashi E, Shintani D, Niitsu M, Ishihara O, Itakura A - Nagoya J Med Sci (2015)

CT attenuation of the abscess group (n = 19) and the hematoma group (n = 6) as measured by (A) a board-certified gynecologist and (B) a gynecology resident.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4664588&req=5

fig3: CT attenuation of the abscess group (n = 19) and the hematoma group (n = 6) as measured by (A) a board-certified gynecologist and (B) a gynecology resident.
Mentions: On the other hand, CT attenuation that was measured by both the gynecologists could be used to clearly distinguish inflammatory disease with abscess formation (Figure 2A) from hemorrhagic disease with hematoma (Figure 2B). All cases of CT attenuation in the abscess group were below 40 HU (Hounsfield Number), and those in hematoma were higher than 60 HU (Figure 3A, B).

Bottom Line: The preoperative CT images of the tubo-ovarian cyst were retrospectively investigated on the basis of cyst attenuation.CT attenuation of the cyst measured by both two gynecologists could be used to clearly distinguish inflammatory disease with abscess formation from bleeding disease with hematoma.This may significantly contribute to making differential diagnosis without interpretation by a medical radiologist.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Saitama Medical University, Iruma-gun, Saitama, Japan.

ABSTRACT
To determine the efficacy of computed tomography (CT) attenuation of cystic lesions measured on an image browsing system to distinguish abscess from hematoma in women with acute abdomen. The medical records of female patients of reproductive age with acute abdomen who were treated over a 7-year period in a single center and who had undergone laparotomy or laparoscopic surgery and preoperative pelvic CT scanning were retrospectively analyzed to identify those with hematoma or abscess cyst formation. Nineteen patients with tubo-ovarian abscess (abscess group) and six patients with hematoma (hematoma group) formation in the pelvis were included in the analysis. The preoperative CT images of the tubo-ovarian cyst were retrospectively investigated on the basis of cyst attenuation. CT attenuation of the cyst measured by both two gynecologists could be used to clearly distinguish inflammatory disease with abscess formation from bleeding disease with hematoma. CT attenuation on a picture archiving and communication system can distinguish hematoma from abscess in women with acute abdomen. This may significantly contribute to making differential diagnosis without interpretation by a medical radiologist.

No MeSH data available.


Related in: MedlinePlus