Articles

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620 results found
Article

Submucosal uterine leiomyoma

Submucosal leiomyomas of the uterus refer to a subtype of uterine leiomyoma that primarily projects into the endometrial cavity; when the fibroid is predominantly within the cavity it is often called an intracavitary fibroid 7. They are the least common, albeit the most symptomatic, type of leio...
Article

Robinow syndrome

Robinow syndrome is a rare heterogeneous genetic disorder with at least two distinct forms. Terminology Fetal face syndrome and Robinow-Silverman syndrome are the other synonyms for this genetic disorder. Formerly it was known as costovertebral segmentation defect with mesomelia 8. Epidemiolo...
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Turner syndrome

Turner syndrome, also known as 45XO or 45X, is the most common of the sex chromosome abnormalities in females.  Epidemiology The incidence is estimated at 1:2000-5000 of live births, although the in utero rate is much higher (1-2% of conceptions) due to a significant proportion of affected fet...
Article

Venous intravasation

Venous intravasation is the unintended introduction of radiographic contrast material into the local venous system. It is a well-recognized phenomenon during retrograde urethrograms 1,2 and hysterosalpingograms (HSG), although can occur with other invasive procedures in the vicinity of venous pl...
Article

Myxoid degeneration of a leiomyoma

Myxoid degeneration of leiomyoma is one of the rarer types of degeneration that can occur in a uterine leiomyoma. This term is related but not identical to the term myxoid uterine leiomyoma. Epidemiology While this type of degeneration is generally considered rare, the highest prevalence for t...
Article

Abnormally thickened endometrium (differential)

Abnormally thickened endometrium on imaging may occur for a number of reasons which may be categorized based on whether or not they are related to pregnancy. Etiologies may also be classified based on whether the patient is premenopausal or postmenopausal. Differential diagnosis Pregnancy-rela...
Article

Cervical cancer (staging)

Staging of cervical cancer can either be based on the TNM or FIGO system. Classification Revised FIGO staging of cervical carcinoma (2018) FIGO no longer includes stage 0 (Tis) I: confined to cervix uteri (extension to the corpus should be disregarded) IA: invasive carcinoma only diagnosed ...
Article

Hysterosalpingogram

A hysterosalpingogram (HSG) is a fluoroscopic examination of the uterus and the fallopian tubes, most commonly used in the investigation of infertility or recurrent spontaneous abortions. Indications infertility: to assess uterine morphology and tubal patency Contraindications pregnancy act...
Article

Ovarian cancer (staging)

The most commonly adopted ovarian cancer staging system is the FIGO staging system. The staging system is from 2014 1: CT is considered the best imaging modality for staging ovarian cancer 4. stage I:  tumor limited to the ovaries stage Ia:  ​tumor limited to one ovary capsule intact no tu...
Article

Ovarian serous tumors

Ovarian serous neoplasms are the commonest of four general types of the epithelial ovarian tumors, and are more prevalent than the mucinous ovarian tumors. Serous ovarian neoplasms are subdivided into benign, borderline, and malignant lesions according to their malignant potential and clinical ...
Article

Psammoma bodies

Psammoma bodies are round microscopic calcific collections. It is a form of dystrophic calcification. Necrotic cells form the focus for surrounding calcific deposition. They have a lamellated concentric calcified structure, sometimes large enough to be seen on CT.  Psammoma bodies are found in ...
Article

Pelvic congestion syndrome

Pelvic congestion syndrome (some prefer pelvic venous insufficiency 9 ) is a condition that results from retrograde flow through incompetent valves in ovarian veins resulting in pelvic varices and pelvic pain. It is a commonly missed and potentially treatable cause of chronic abdominopelvic pain...
Article

Adenomyosis

Adenomyosis (or uterine adenomyosis) is a common uterine condition of ectopic endometrial tissue in the myometrium, sometimes considered a spectrum of endometriosis. Although most commonly asymptomatic, it may present with menorrhagia and dysmenorrhea. Pelvic imaging (i.e. ultrasound, MRI) may ...
Article

Venetian blind appearance (uterus)

The Venetian blind (a.k.a. rain shower 2) appearance is a sonographic finding that is typically associated with adenomyosis but can also occur in uterine fibroids. The Venetian blind appearance associated with adenomyosis is typically "thin" whereas when associated with uterine fibroids, there a...
Article

Polyhydramnios

Polyhydramnios refers to a situation where the amniotic fluid volume is more than expected for gestational age. It is generally defined as: amniotic fluid index (AFI) >25 cm, though the cutoff in some centers is being reduced to 24 cm 14 largest fluid pocket depth (maximal vertical pocket) >8...
Article

Sonographic values in obstetrics and gynecology

Obstetric and gynecological ultrasound is rampant with numerous cut-off values. Some of these get revised over the years. The following list is a useful aid to refer to and revise. 1 mm rate of increase of a mean sac diameter per day in early pregnancy 2 mm generally accepted value for a thi...
Article

Endometrioma

Endometriomas, also known as chocolate cysts or endometriotic cysts, are a localized form of endometriosis and are usually within the ovary. They are readily diagnosed on ultrasound, with most demonstrating classical radiographic features.  Epidemiology These occur in up to 10% of women of rep...
Article

Round ligament varicosities

Round ligament varicosities are dilated and tortuous veins in the round ligament, these are rare although most commonly seen during pregnancy and the postpartum period. They constitute an important differential diagnosis for inguinal masses as to avoid unnecessary surgery and associated complica...
Article

1-2-3 rule (ovary)

The 1-2-3 rule is a simple aide-mémoire describing the nomenclature of any small simple anechoic cystic appearing structure within an ovary on ultrasound: <1 cm = follicle 1-2 cm = dominant follicle >3 cm = cyst
Article

Lower vaginal atresia

Lower vaginal atresia is a type of vaginal atresia where the lower third of the vagina fails to develop. Clinical presentation Patients may present with primary amenorrhea with progressive cyclical abdominal pain. Pathology It is usually not considered a type of Mullerian duct anomaly. It oc...

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