SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2005 Mart; 12(1) Karın duvarındaki endometriozis odağının sintigrafi ile görüntülenmesi Sevim Süreyya Cerçi, Celal Cerçi, Tansel Ansal Balcı, Halil Kömek, Nihal Kılınç Özet Endometriyozis üreme çağı kadınlarında oldukça sık görülen bir jinekolojik patolojidir.Rektus abdominis kasının içine yerleşen endometriyozis nadir görülen ve özellikle sezaryen ameliyatı sonrası ortaya çıkan bir patolojidir. Nadir görülen hastalığın günümüz gelişmiş görüntüleme yöntemlerine rağmen tanısındaki zorluklar devam etmektedir. Ultrasonografi (USG), Bilgisayarlı Tomografi (BT), Manyetik Rezonans Görüntüleme, İnce İğne Aspirasyon Biopsisi kullanılan tanı yöntemleridir. Yirmisekiz yaşındaki kadın hastaya menstrual döneminde yapılan USG ve BT'de her iki rektus kılıfı arasında yerleşim gösteren 2 cm çaplı kesin tanısı belirlenemeyen kitle tespit edildi. Yapılan eritrosit işaretleme sintigrafisinde kitle lokalizasyonunda radyotracer akümülasyonu görüldü. Tc-99m eritrosit işaretleme sintigrafisinin abdominal endometriyozis tanısında faydalı olabileceği düşünüldü. Anahtar kelimeler: Endometriyozis, Karın duvarı, Radyonükleid görüntüleme,Tc-99m eritrosit işaretleme. Abstract Abdominal wall endometriosis imaged with scintigraphy: report of a case Endometriosis is a common gynecologic problem that is usually seen in the reproductive period. Abdominal endometriosis is a rare form of endometriosis especially seen after cesarean section, and diagnosis might be problematic. Ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and fine-needle aspiration biopsy (FNAB) can be used as diagnostic procedures. On USG and CT done during the menstruation phase of a 28-year-old woman, an unidentified 2 cm diameter mass between the two rectus sheats is reported here. We perfomed red-blood cell scintigraphy and detected radiotracer accumulation on the localisation of the mass. We suggest that Tc-99m RBC scintigraphy is a useful method for diagnosis of abdominal endometriosis. Key words: Endometriosis, Abdominal wall, Radionuclide imaging, Tc-99m RBC.
SuleymanDemirel University TIP FACULTY JOURNAL: March 2005; 12(1) Imaging the endometriosis focus on the abdominal wall with syntigraphy Sevim Süreyya Cerçi, Celal Cerçi, Tansel Ansal Balcı, Halil Kömek, Nihal Kılınç Summary Endometriosis is a genetic pathology that is very common in women of reproductive age.Rectus abdominis muscle endometriosis is a pathology that occurs rarely and especially after cesarine surgery. Despite today’s advanced methods of imaging the rare disease, difficulties in the diagnosis continue. Ultrasound (USG), computer tomography (BT), magnetic resonance imaging, thin jar aspiration biopsy are the diagnostic methods used. The patient, who was twenty-eight years old, was diagnosed with a non-defined mass of 2 cm diameter of accurate diagnosis that indicates the position between the two rectus clusters in the USG and BT during the menstrual period. Radiotracer accumulation in the mass localization was observed in the erythrosite signature syntigraphy. Tc-99m erythrosite signature syntigraphy was thought to be useful in the diagnosis of abdominal endometriosis. Keywords: endometriosis, the wall of the abdomen, radio nucleus display,TC-99m erythrosite labelling. Abstract Abdominal wall endometriosis imaged with scintigraphy: report of a case Endometriosis is a common gynecological problem that is usually seen in the reproductive period. Abdominal endometriosis is a rare form of endometriosis especially seen after cesarean section, and diagnosis might be problematic. Ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and fine-needle aspiration biopsy (FNAB) can be used as diagnostic procedures. On USG and CT done during the menstruation phase of a 28-year-old woman, an unidentified 2 cm diameter mass between the two rectus sheats is
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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