Role of Ultrasonography, Gallium Scanning and Computed Tomography in the Diagnosis of Intra-Abdominal Abscess

Moir, Christopher R.; Robins, R.Edward; Surfi, Am J

doi:10.1097/00004728-198212000-00071

Cited by 2 publications

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“…Despite the limitation of US and CT in characterizing this kind of lesion, the reported accuracy of both modalities for specific diagnosis is high (6, 9,12). Therefore, the impact of MR imaging in evaluating patients suspected of a tubo-ovarian abscess may be questionable in terms of cost effectiveness.…”

Section: Discussionmentioning

confidence: 99%

MR Imaging of Tubo-Ovarian Abscess

Ha¹,

Lim²,

S.³

et al. 1995

Acta Radiol

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Purpose, and Material and Methods: MR findings of 9 surgically proven tubo-ovarian abscesses were analyzed in 8 patients. The images were evaluated for signal intensity characteristics and morphologic appearance of the mass, and presence of secondary changes in adjacent pelvic organs and structures. Results: The signal intensity of the lesions on TI-weighted images was hypointense to the surrounding muscle and myometrium in 5 patients, isointense in 3,and hyperintense in 1. On T2-weighted images the signal intensity was hyperintense (n=6) or heterogeneous (n=3). A thin rim (1-3 mm) with hyperintensity on T1-weighted images was noted in the innermost aspect of the masses. Other findings were ill-defined margin, thickened wall, multiple internal septa, shading and gas collection. "Mesh-like" linear strands were noted in the pelvis in all patients, with involvement of adjacent pelvic organs in 7 and lymphadenopathy in 3. Conclusions: In this limited number of cases MR imaging showed great potential for demonstrating the extent of the disease, characterizing the lesions and making a specific diagnosis.

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Section: Discussionmentioning

confidence: 99%