Ruptured Corpus Luteal Cyst: Prediction of Clinical Outcomes with CT
Korean Journal of Radiology
;
: 607-614, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-118262
ABSTRACT
OBJECTIVE:
To evaluate the determinant pretreatment CT findings that can predict surgical intervention for patients suffering from corpus luteal cyst rupture with hemoperitoneum. MATERIALS ANDMETHODS:
From January 2009 to December 2014, a total of 106 female patients (mean age, 26.1 years; range, 17–44 years) who visited the emergency room of our institute for acute abdominal pain and were subsequently diagnosed with ruptured corpus luteal cyst with hemoperitoneum were included in the retrospective study. The analysis of CT findings included cyst size, cyst shape, sentinel clot sign, ring of fire sign, hemoperitoneum depth, active bleeding in portal phase and attenuation of hemoperitoneum. The comparison of CT findings between the surgery and conservative management groups was performed with the Mann-Whitney U test or chi-square test. Logistic regression analysis was used to determine significant CT findings in predicting surgical intervention for a ruptured cyst.RESULTS:
Comparative analysis revealed that the presence of active bleeding and the hemoperitoneum depth were significantly different between the surgery and conservative management groups and were confirmed as significant CT findings for predicting surgery, with adjusted odds ratio (ORs) of 3.773 and 1.318, respectively (p 5.8 cm and concurrent active bleeding, the OR for surgery increased to 5.786.CONCLUSION:
The presence of active bleeding and the hemoperitoneum depth on a pretreatment CT scan can be predictive warning signs of surgery for a patient with a ruptured corpus luteal cyst with hemoperitoneum.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Quistes Ováricos
/
Ovario
/
Rotura
/
Tomografía Computarizada por Rayos X
/
Dolor Abdominal
/
Modelos Logísticos
/
Oportunidad Relativa
/
Estudios Retrospectivos
/
Sensibilidad y Especificidad
/
Servicio de Urgencia en Hospital
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Radiology
Año:
2017
Tipo del documento:
Artículo
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