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1、宫外孕宫外孕女，心岁，右下腹痛半天了／v一•附件区见囊实性异常密度，动脉期高密度，表示出血。·另外盆腔积液积血。子宫体积增大。·你的考虑？•结果：•宫外孕·子宫增大考虑与分泌激素刺激有关。一·让我们来学习些这个疾病。Fig.2:A.Schemeof如GS-likestructure.B,C.MRIandUSappearanceof由eGS-likestructure.Thewallof加GS-likestructureonT2-weightedMRI(B,arrow)and"highechogenicrim"on劝S(C,arrow)correspondto加chorionicvill
2、ianddecidua.Thecysticspacecorrespondsto加amnioticcavityandintervillousspace.G羽犬结构的壁对应千绒毛和蜕膜。囊性空间对应千羊膜腔和和绒毛腔异位根据解剖位置命名为：输卵管（壶腹部，伞，峡部，＿宫角），子宫颈和卵巢。Inters面alFimbrial..Cervical＾＾写百勹I早夕绝I.一TuOalPregnancy®.天.!rI仁／仁1『)扣归心见宫外孕破裂引起子宫周围血肿和腹腔积血。computedTomographyimagingfindingsofa37-year-old1心man劝thinterstlt
3、ialpregnancyf7lSh0WinginitialCTdetectionandasubsequentscanfollowingrupturecausingahematomaarounduterusandamassivehemoperitoneum.lnmalCT-gestationalsacFollow-upCT-massivehemoper�oneumCT-hematomaarounduterusFigure1.Ectopicpregnancy.AbdominaVpelvicCT.Imagecompatiblewithgest即onalsacintheleftadnexalr
4、egion(arrowonA).separatedfromtheuterineImage(starsonAandB)andfromtheipsilateralovaryidentifiedbyvisualizationofthecorpusluteum(hollowarrowonB).AISo,notethepresencemoderateamountoffluidintheperitonealcavitywithfociofhighdensitycharacterizinghematiccontent{L).(A,B:contrast-enhancedaxialsectionsint
5、heportalphase).一一般在附件区个要性为主的病灶，明显强化，周围会见到盆腔积液。甚至积血是非常常见的，积血一的存在不定表明破裂，但是，较大的量会考虑并发破裂的可能。比起CT,T2有95%的灵敏度和100%的特异性。穿叩tionsac:孕霎－广�--一-----.-，'.一气必令Acaseoflefttubalpregnancyat7weeks'千卤或on.A.虚AxialTI-weightedMRIshowsaGS-likestructure(arrow),whichisacysticlesionwiththickwall.、、..';,/、/重、过�/恤�,...rt�F
6、ig:Righttubalpregnancyof6weeks'gE卤忒ion.A,B.AxialTI-weighted(A),andfat-supp『essedTl-weighted(B)MRIshowaGS-likestructure(arrow)lateraltotheuterus.C,D,E.MagnificationoftheGS-likestructureofaxialT2-weighted(Q,fat-suppressedTl-weighted(D),gadolinium-enhancedfat-suppressedTl-weighted(E)MRIareshown.Int
7、herelativelythickwalloftheGS-likestructure,lowintensityareaonTI-weightedMRI(C,arrow)andhighintensityareaonTl-weightedMRI(D,arrow)isidenlifi过，whichsuggesthemorrhageinthewall.Thewallisstronglyenhanced(E,arrow).•总之就是，子宫以外，附件区见到
