“…These findings appear similar to sono- graphic findings previously described with the abnormal presence of air within the intestine or bladder in patients with intestinal or bladder pneumatosis, respectively. [11][12][13][14] Application of the transvaginal transducer directly above the lesion and immediate depiction of the sonographic finding of air within the lesion essentially negate consideration of the previously mentioned wide differential diagnosis, which must be considered with the characteristic radiologic and CT imaging findings of this condition. A systematic English language literature search (PubMed and MEDLINE) between 1966 and 2005 using the search terms "vaginitis," "emphysematosa," "emphysematous," "Gardnerella," "Trichomonas," "ultrasound," "radiology," and "computed tomography," indicated that the sonographic findings associated with emphysematous vaginitis have not been reported previously.…”