Imaging of pregnancy-related complications.

Rooholamini, Seyed A.; Au, A.; Hansen, Gail C.; Kioumehr, F; Dadsetan, M. R.; Chow, PC; Kurzel, Richard B.; Mikhail, Ghada

doi:10.1148/radiographics.13.4.8356266

Cited by 50 publications

(30 citation statements)

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“…US is the first choice because it can be executed at bedside, does not require the use of ionizing radiation and is cost-effective. However, US is limited in demonstrating the real extent of some abnormalities, which require the use of second-level techniques (7).…”

Section: Imagingmentioning

confidence: 99%

“…a b c direct communications between the uterus and peritoneal cavity (1,8). The rupture of the uterus is a potentially mortal complication (4,7,8). Patients usually complain of severe abdominal pain.…”

Section: Uterine Rupturementioning

confidence: 99%

“…The period of onset can vary from 2 to 10 days postpartum. It is usually unilateral (only 10%-14% of cases are bilateral), affecting commonly the right ovarian vein (up to 80%-90%), likely because it is usually larger than the left one, has multiple incompetent valves (1,4,7,9), and merges obliquely with the inferior vena cava. Moreover, the retrograde flow from the left renal vein to the ovarian vein during pregnancy and postpartum is thought to be protective (4).…”

Section: Ovarian and Pelvic Vein Thrombosis And Thrombophlebitismentioning

confidence: 99%

See 2 more Smart Citations

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Gui

Danza²,

Valentini³

et al. 2016

Diagn Interv Radiol

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Section: Imagingmentioning

confidence: 99%

Section: Uterine Rupturementioning

confidence: 99%

Section: Ovarian and Pelvic Vein Thrombosis And Thrombophlebitismentioning

confidence: 99%

See 1 more Smart Citation

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Gui

Danza²,

Valentini³

et al. 2016

Diagn Interv Radiol

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“…Hemorrhage can extend along the portal triads and form small pools of blood. In more severe cases, the hemorrhage can be more extensive, and it may dissect through the hepatic parenchyma into the subcapsular space and rupture through the capsule into the free intraperitoneal space (6,7). In severe cases, hemorrhage can be life-threatening.…”

Section: Toxemia Of Pregnancymentioning

confidence: 99%

MRI of diffuse liver disease: the common and uncommon etiologies

Chundru

Kalb

Arif-Tiwari

et al. 2013

Diagn Interv Radiol

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“…43,44 CT findings are conclusive when a dilated pelvic vein is seen with enhancing walls containing a central low-attenuation (thrombus). The right ovarian vein is involved in 80 to 90% of cases, with 10% of cases being bilateral 45 Multiplanar reconstruction may be crucial in the aid of distinguishing a dilated ureter or an inflamed appendix from a dilated ovarian vein with a thrombus. A comparison study by Twickler et al, 46 CT and MRI was shown to have greater sensitivity and specificity than Doppler US in the detection of OVT (Figure 12).…”

Section: Ovarian Vein Thrombosis (Ovt)mentioning

confidence: 99%

Imaging Modalities in Gynecology

Busse¹

2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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REVIEW ARTICLE DSJUOG ULTRASOUNDTransabdominal gynecologic ultrasound combined with transvaginal scanning is a technique that was initially introduced in the early 1980's and quickly became a "musthave" procedure for gynecologists and emergency room physicians for assistance in diagnosing many gynecologic conditions. Rapid advances in the quality of the equipment, techniques used to obtain best images, and research designed to help physicians interpret their findings have contributed to ultrasound's quick rise in use and popularity. It is ubiquitous that ultrasound is the imaging modality of choice for gynecologic conditions.The advantages of ultrasound are numerous. It is fast, easy to obtain, has a high patient tolerance and is relatively inexpensive when compared to CT and MRI. Many physicians' offices have ultrasound machines that are more than sufficient to make common diagnoses thereby alleviating patient anxiety and physician concerns if an abnormality is found during a physical exam. Appropriate referrals and treatments can be initiated in a timely manner at minimum expense. The ability to use the transvaginal ultrasound as an extension of a pelvic exam is extremely useful, particularly when the source of pain is uncertain during bimanual exam or if a mass is found of uterine or ovarian origin. An obvious advantage, especially when compared to CT, is that no radiation exposure occurs. As will be discussed in more detail, pelvic ultrasound has been shown, in numerous studies, to have a high negative predictive value and offers excellent resolution of the uterus and adnexal structures, especially when compared to CT and MRI.There are disadvantages; however, that should be addressed. Even with routine use of transabdominal scanning which utilizes the acoustic window of a full bladder, the field of view is very limited, especially, compared to CT and MRI. Transvaginal sonography limits the field; however, it is effective in obtaining excellent resolution of the uterus, endometrium and adnexal structures. Ultrasound visualizes the bowel poorly and it is well-known that bowel gas corrupts the ultrasound signal allowing for potential "missed" masses not visible under the bowel. An additional drawback is that poor contrast occurs between dissimilar tissues (i.e. blood and fat) making it difficult to characterize certain ovarian masses accurately.Ultrasound characterizes gynecologic pathology extremely well. Fibroids, endometriomas, dermoids, masses that are suspicious for malignancy, uterine anomalies, IUD complications, ectopic pregnancies, and endometrial pathology (with the help of transvaginal saline infusion sonography) are diagnoses that are detected with high accuracy. The following will give illustrations of the clinical utility of diagnostic gynecologic ultrasound for specific clinical conditions. AbstractAlthough ultrasound is the primary imaging modality for most gynecologic diagnoses and conditions, knowledge of other diagnostic imaging procedures is important to gynecologists, emergency room physici...

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Imaging of pregnancy-related complications.

Cited by 50 publications

References 0 publications

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

MRI of diffuse liver disease: the common and uncommon etiologies

Imaging Modalities in Gynecology

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