Academic Journal
Diagnostic Clues for Women with Acute Surgical Abdomen Associated with Ruptured Endometrioma.
| العنوان: | Diagnostic Clues for Women with Acute Surgical Abdomen Associated with Ruptured Endometrioma. |
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| المؤلفون: | Keum, Jihyun, Lee, Won Moo, Choi, Joong Sub, Bae, Jaeman, Cho, Seongsil, Kang, Bo Kyeong |
| المصدر: | Journal of Personalized Medicine; Aug2023, Vol. 13 Issue 8, p1226, 12p |
| مصطلحات موضوعية: | ENDOMETRIOSIS, CA 125 test, MENSTRUAL cycle, REFERENCE values, AGE differences, ACUTE abdomen, C-reactive protein |
| مستخلص: | (1) Background: An investigation of the preoperative diagnostic clues used to identify ruptured endometrioma by comparing the ruptured and unruptured states in patients who underwent laparoscopic operations due to endometrioma. (2) Methods: Patients with ruptured endometriomas (14 patients) and unruptured endometriomas (60 patients) were included, and clinical symptoms, laboratory findings, and radiological findings were analyzed. (3) Results: There were no significant differences in age, parity, last menstrual cycle days, or median size of endometrioma between two groups (group A: ruptured; group B: unruptured). The median serum level of CA 125 was 345.1 U/mL in group A and 49.8 U/mL in group B (p = 0.000). The median serum levels of CA 19-9 in group A and B were 46.0 U/mL and 19.1 U/mL, respectively (p = 0.005). The median serum level of CRP in group A was 1.2 g/dL, whereas it was 0.3 in group B (p = 0.000). ROC analysis showed that the optimal CA 125 cutoff value was 100.9 U/mL; the optimal CA 19-9 cutoff value was 27.7 U/mL; and the optimal CRP cutoff value was 1.0 g/dL. (4) Conclusions: Ruptured endometrioma can be diagnosed preoperatively using a combination of clinical symptoms, laboratory findings, and radiological findings. If a physician suspects a ruptured endometrioma, surgery should be performed to ensure optimal prognosis. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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