Ultrasound of the Acute Female Pelvis

Ignacio, Elizabeth A.; Hill, Michael C.

doi:10.1097/00013644-200306000-00004

Cited by 28 publications

(15 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Au total, on peut dire qu'en plus de l'examen clinique, les examens complémentaires les plus discriminants aux urgences gynécologiques pour établir un diagnostic, parfois un pronostic et un traitement quand il n'y a pas de cause clinique évidente, sont les béta HCG plasmatiques et l'échographie pelvienne [27,28].…”

Section: Discussionunclassified

Urgences gynécologiques : nature et degré de gravité

Alouini

Mesnard

Coly

et al. 2012

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

View full text Add to dashboard Cite

Section: Discussionunclassified

Urgences gynécologiques : nature et degré de gravité

Alouini

Mesnard

Coly

et al. 2012

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

View full text Add to dashboard Cite

“…In 50% of cases, an ovarian mass is associated with the torsion. 9 Ultrasound is considered the imaging modality of choice for this diagnosis although its accuracy is far from perfect. Classic findings of ovarian enlargement (edema), multiple peripheral follicles and absence of Doppler venous and/or arterial flow, free fluid in the pelvis are not seen in the majority of the cases.…”

Section: Ovarian Torsionmentioning

confidence: 99%

“…As far as duplex and color Doppler flow studies are concerned, the studies have been "confusing and inconsistent". 9 The most predictive use of color Doppler has been the visualization of a "twisted pedicle as a whirlpool sign" described by Lee 11 in 1998 with a diagnostic accuracy of 88% for torsion ( Figure 2). …”

Section: Ovarian Torsionmentioning

confidence: 99%

Imaging Modalities in Gynecology

Busse¹

2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

View full text Add to dashboard Cite

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...

show abstract

“…Ultrasonography is most useful in differentiating TOA from other stages of PID (18). In PID, the most common sonographic findings include thickened, heterogeneous endometrium, an enlarged uterus with fluid in the cavity, and fluid-filled fallopian tubes (19,20). A tubo-ovarian complex is an inflammatory pelvic mass without any collection of pus within a cavity, in which edematous, adherent, infected ovaries and tubes can still be visualized but cannot be separated by an endovaginal probe.…”

Section: Slap Et Al Conducted a Retrospective Study In Adolescentsmentioning

confidence: 99%

“…The typical sonographic appearance of a TOA is a complex adnexal mass of varying echogenicity with debris, septations, and irregular margins ( Figure 1) (18,19,21). The other sonographic markers of TOA are pyosalpinx, and loculated or speckled, echogenic fluid in the cul-desac ( Figure 2) (18,19,22).…”

Section: Slap Et Al Conducted a Retrospective Study In Adolescentsmentioning

confidence: 99%