Our study showed that there seems to be a strong relation between the increased diameter of the main terminal lactiferous ducts- the polycystic configuration of the ovaries and the hormonal levels.
The purpose of this study was to show whether color Doppler ultrasonography of the ovarian arteries is a useful tool for the differential diagnosis of pelvic inflammatory disease (PID) and appendicitis. The study included 50 female patients with clinical symptoms of acute pelvic inflammation and 50 healthy women of the same age as a control group. All were examined with color Doppler ultrasonography to visualize the internal genitalia and estimate the blood flow through the ovarian arteries. Peak systolic velocity (PSV), end diastolic velocity, pulsatility index (DPI), and resistance index were measured. In the healthy women, ovaries were normal in size, and the parameters of ovarian arterial flow were PSV 0.30-0.50, systolic/diastolic ratio <0.7, DPI 1.23-1.50. In 45 of the patients, there was infection and enlargement of the ovaries and/or salpinx, and flow parameters were PSV 0.40-0.70, systolic/diastolic ratio 0.5-0.8, and DPI 1.40-1.96. In five cases the ultrasound image was obscure, and flow parameters were similar to those of healthy women. These patients underwent surgery for a diagnosis of appendicitis. Our study showed that in cases of diagnostic differentiation between PID and appendicitis, examination with color Doppler ultrasound is very easy and useful. The relatively increased flow parameters in ovarian arteries direct the diagnosis to PID.
<p><strong>Objective. </strong>The aim of this study was to evaluate the utility of the Pulsatility Index (PI) of the right hepatic artery, measured by color Doppler sonography, in the diagnosis of acute cholecystitis.</p><p><strong>Methods. </strong>Seventy-five subjects were included in this study and divided into three groups, each consisting of 25 subjects: the cholecystitis group, the asymptomatic cholelithiasis group, and normal controls. Patients with acute cholecystitis fulfilled all the diagnostic criteria as stated in the latest Tokyo Guidelines. In all patients, the right hepatic artery was detected by color Doppler ultrasound and the PI was measured.</p><p><strong>Results</strong>. Patients with acute cholecystitis were found to have significantly higher PI values compared to both normal controls and cholelithiasis patients. Regression analysis revealed a significant positive correlation between the PI and the cholecystitis outcome.</p><p><strong>Conclusion. </strong>Measurement of PI by color Doppler ultrasound represents a useful aid in the diagnostic process of acute cholecystitis. More studies are needed before this method is incorporated in the relevant guidelines.</p>
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