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Lesões não ginecológicas que simulam patologia ginecológica
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Abstract(s)
Existe um amplo espectro de achados radiológicos de lesões não ginecológicas que simulam patologia ginecológica, principalmente
doenças inflamatórias e neoplasias. Na sua avaliação diagnóstica são necessários exames clínicos, laboratoriais e radiológicos. O
Radiograma simples do abdómen, a Ecotomografia transabdominal e transvaginal, a Tomografia Computorizada e a Ressonância
Magnética são modalidades radiológicas adequadas para avaliar estas entidades.Neste artigo ilustramos os diferentes achados
que auxiliam no diagnóstico diferencial de lesões abdominais e pélvicas que simulam patologia ginecológica.Neoplasias gastrointestinais,
apendiculares, pélvicas retroperitoneais, mesentéricas e do epiploon têm que ser diferenciadas.Patologia inflamatória
como a apendicite aguda e o abcesso peri-apendicular, bem como o quisto de inclusão peritoneal, linfocelo pélvico e outras lesões
peritoneais têm que ser consideradas.
There is a wide spectrum of abdominal and pelvic nongynecologic lesions that simulate gynecologic pathology, mainly inflammatory and neoplastic conditions. In their diagnostic evaluation appropriate clinical, laboratory and radiologic studies are needed. Plain radiographs, transabdominal and transvaginal ultrasound, CT and MR are good imagiological modalities to evaluate these entities.In this presentation we illustrate the different imaging findings that aid in the differential diagnosis of abdominal and pelvic lesions that mimic gynecologic pathology.Gastro-intestinal, appendiceal, retroperitoneal pelvic, mesenteric and omental tumors must be disclosed.Inflammatory conditions such as appendicitis and periappendiceal abscesses, as well as peritoneal inclusion cyst, pelvic lymphocele and other peritoneal and miscellaneous lesions are other conditions to be considered.
There is a wide spectrum of abdominal and pelvic nongynecologic lesions that simulate gynecologic pathology, mainly inflammatory and neoplastic conditions. In their diagnostic evaluation appropriate clinical, laboratory and radiologic studies are needed. Plain radiographs, transabdominal and transvaginal ultrasound, CT and MR are good imagiological modalities to evaluate these entities.In this presentation we illustrate the different imaging findings that aid in the differential diagnosis of abdominal and pelvic lesions that mimic gynecologic pathology.Gastro-intestinal, appendiceal, retroperitoneal pelvic, mesenteric and omental tumors must be disclosed.Inflammatory conditions such as appendicitis and periappendiceal abscesses, as well as peritoneal inclusion cyst, pelvic lymphocele and other peritoneal and miscellaneous lesions are other conditions to be considered.
Description
Keywords
Lesão ginecológica Infecção Neoplasia Ovário Ecotomografia Ressonância magnética Gynecological lesions Infection Neoplasm Ovary Ultrasound Magnetic resonance imaging
Pedagogical Context
Citation
Inês Pereira; Teresa Margarida Cunha. Non Gynecologic Lesions Mimicking Gynecological Pathology, Acta Radiológica Portuguesa, 23, 92, 15-21, 2011.