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Kista Ovarii & Ginjal (USG&CTscan)

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Page 1: Kista Ovarii & Ginjal (USG&CTscan)
Page 2: Kista Ovarii & Ginjal (USG&CTscan)

*Graafian folliclesThe normal ovary in pre-menopausal women contains small cysts. The images show two normal ovaries with several anechoic, simple cysts consistent with Graafian follicles.

Page 3: Kista Ovarii & Ginjal (USG&CTscan)

• Kista yg berasal dr folikel de Graaf yg tidak berovulasi

•Ukuran 3-8 cm atau lebih

•On ultrasound follicular cysts present as simple unilocular, anechoic cysts with a thin, smooth wall. There should be no enhancing nodules or other solid components, no enhancing septations, and no more than physiologic ascites.

Page 4: Kista Ovarii & Ginjal (USG&CTscan)

*Kista berisi cairan berwarna merah kecoklatan

*The characteristic circular Doppler appearance is called the 'ring of fire'.

Page 5: Kista Ovarii & Ginjal (USG&CTscan)

•On ultrasound hemorrhagic ovarian cyst presents as an unilocular thin-walled cyst with fibrin-strands or low-level echoes and good through transmission.

Page 6: Kista Ovarii & Ginjal (USG&CTscan)

• The ultrasound images show the right and left ovary: on both sides there is what appears to be a solid lesion.

Page 7: Kista Ovarii & Ginjal (USG&CTscan)

hypoechoic cyst with diffuse low level echoes.

Page 8: Kista Ovarii & Ginjal (USG&CTscan)
Page 9: Kista Ovarii & Ginjal (USG&CTscan)

*In both ovaries there are multiple cysts. shows an invasive uterine mass, consistent with invasive molar pregnancy.

Page 10: Kista Ovarii & Ginjal (USG&CTscan)

*The characteristic ultrasound appearance is that of a cystic mass, with a hyperechoic solid mural nodule, which is called a Rokitansky nodule or dermoid plug

Page 11: Kista Ovarii & Ginjal (USG&CTscan)

*shows the 'tip-of-the-iceberg' sign: acoustic shadowing from the hyperechoic part of the dermoid cyst.

Page 12: Kista Ovarii & Ginjal (USG&CTscan)

*Classic low attenuation consistent with fat in a right sided cystic teratoma at CT

Page 13: Kista Ovarii & Ginjal (USG&CTscan)

•At imaging a serous cystadenoma is most often unilocular and anechoic, and may look like a simple cyst. Mucinous cystadenomas are most often multilocular with thin (< 3 mm) septations.

Page 14: Kista Ovarii & Ginjal (USG&CTscan)
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Page 16: Kista Ovarii & Ginjal (USG&CTscan)

Radiographic features , US:

Anechoic

Enhanced through-transmission

Sharply marginated,smooth walls

Page 17: Kista Ovarii & Ginjal (USG&CTscan)

*hypoechoic and with or without internal echoes

*There is a zone of increased echo recording deep to the mass.

Page 18: Kista Ovarii & Ginjal (USG&CTscan)

Penyakit ini diturunkan

inheritas dan biasanya dijumpai

pad pasien berumur di atas

40 tahun

Penyakit ini diturunkan

inheritas dan biasanya dijumpai

pad pasien berumur di atas

40 tahun Gejala : hematuria,

proteinuria, hipertensi, sakit pinggang, nyeri

abdomen

Gejala : hematuria, proteinuria,

hipertensi, sakit pinggang, nyeri

abdomen

Page 19: Kista Ovarii & Ginjal (USG&CTscan)

*Pada pemeriksaan CT scan dibuat potongan transversal dan koronal pada kedua ginjal. Dibuat potongan 5-10 cm. Pada gambaran CT tampak kista pada kedua ginjal di dalam parenkim atau di sentral

Page 20: Kista Ovarii & Ginjal (USG&CTscan)

• Multicystic kidney. Longitudinal ultrasound scan of the multicystic kidney showing the classical appearance of multiple cysts of varying sizes with very little surrounding parenchyma, occupying the whole of the kidney.

Page 21: Kista Ovarii & Ginjal (USG&CTscan)
Page 22: Kista Ovarii & Ginjal (USG&CTscan)

CT scan menunjukkan kista luas di kedua ginjal, kista telah hampir sepenuhnya menggantikan parenkim ginjal.