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中华医学超声杂志(电子版) ›› 2016, Vol. 13 ›› Issue (12) : 958 -960. doi: 10.3877/cma.j.issn.1672-6448.2016.09.017

所属专题: 经典病例 文献

病例报告

盆腔耻骨后间隙海绵状血管瘤超声诊断一例
邱兰燕1, 张宏1, 朱紫吟1, 钱林学1,()   
  1. 1. 100050 首都医科大学附属北京友谊医院超声科
  • 收稿日期:2016-10-09 出版日期:2016-12-01
  • 通信作者: 钱林学

Cavernous hemangioma in retropubic space: a case report

Lanyan Qiu1, Hong Zhang1, Ziyin Zhu1   

  • Received:2016-10-09 Published:2016-12-01
引用本文:

邱兰燕, 张宏, 朱紫吟, 钱林学. 盆腔耻骨后间隙海绵状血管瘤超声诊断一例[J]. 中华医学超声杂志(电子版), 2016, 13(12): 958-960.

Lanyan Qiu, Hong Zhang, Ziyin Zhu. Cavernous hemangioma in retropubic space: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2016, 13(12): 958-960.

图1~3 盆腔占位常规超声图像。图1 经腹壁横切扫查所见,盆腔膀胱(红色箭头示)前方见4.1 cm×1.7cm低回声占位(白色箭头示),边界清楚,形态规则;图2 经腹壁纵切扫查所见,低回声占位见于盆腔膀胱(红色箭头示)前方,耻骨(黄色箭头示)上方;图3 彩色多普勒超声所见,低回声占位内未探及血流信号
图4~7 盆腔占位超声造影图像,为双幅造影模式,左侧为超声造影图像(绿色箭头示),右侧为常规超声图像(白色箭头示)。图4 示占位于造影30 s开始出现强化,呈边缘细线样环形强化;图5 示造影80 s边缘可见大小不等结节样增强;图6 示造影146 s结节大部分呈无增强,仅见多发线样及边缘结节样强化;图7 显示占位强化范围逐渐扩大,造影174 s强化程度达高峰,呈现不均匀低增强。占位由动脉期到延迟期增强范围逐渐增大,呈不均匀低增强
图8~12 盆腔占位多层螺旋CT尿路造影图像,图中白色箭头示盆腔占位,红色箭头示膀胱,黄色箭头示耻骨。图8 为CT平扫期示膀胱前方软组织密度灶(白色箭头);图9 为增强CT皮质期,占位呈不均匀强化,外带强化显著;图10 为增强CT静脉期,占位强化范围增大,呈不均匀低增强;图11 为增强CT排泌期(注射造影剂20~30 min后扫描)冠状位重建图像示,占位见于膀胱前方,耻骨联合后方,排泌期造影剂已廓清;图12 为增强CT排泌期矢状位重建图像示,占位见于膀胱前方,耻骨后上方,排泌期造影剂已廓清
图13 盆腔耻骨后间隙海绵状血管瘤术后病理图(HE 染色×10),由大小不一扩张的血窦组成,内衬有扁平内皮细胞,之间为纤维组织间隔,部分血窦内见血细胞
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