Gestational trophoblastic diseases (GTD) comprise several entities which all arise due to abnormal growth of trophoblastic cells of the placenta. These disease processes range from benign to malignant. GTD are classified as complete hydatidiform mole, partial mole, invasive mole and choriocarcinoma. The imaging of choice for detecting trophoblastic disease is B-mode ultrasonography and color Doppler. When ultrasonography corresponds with the classic clinical presentation, accurate diagnosis is possible in a majority of cases of GTD. This article goes through several cases of GTD. Each case will demonstrate and review the principles of ultrasound diagnosis of different forms of GTD and apply it to the presented case studies. With early and accurate diagnosis with the help of ultrasonography, the cure rate for GTD is high. How to cite this article Tie W, Tajnert K, Plavsic SK. Ultrasound Imaging of Gestational Trophoblastic Disease. Donald School J Ultrasound Obstet Gynecol 2013;7(1):105-112.
Postpartum fever and infection remain a significant cause of morbidity in postpartum period. Ultrasound is useful for assessment of the patients who present with temperature elevation, vaginal bleeding, pelvic and/or abdominal pain and signs of infection. Sonography can also be used to detect mastitis and breast abscess. Different types of imaging may be used in patients with refractory fever from suspected pyelonephritis, renal abscess and deep vein thrombosis. This article presents a variety of case scenarios regarding the postpartum fever. By using illustrative images the learner will be able to differentiate between the most common causes of postpartum fever, and will be able to identify typical B-mode, color Doppler, and CT images that require immediate antibiotic and/or invasive treatment.
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