Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.
612 results found
Article
FIGO classification system for the causes of abnormal uterine bleeding in non-gravid women of reproductive age (mnemonic)
The FIGO classification system for the causes of abnormal uterine bleeding in non-gravid women of reproductive age has a mnemonic at its core 1:
PALM-COEIN
The "PALM" causes are considered structural and the "COEIN" (coin) causes are considered non-structural.
Mnemonic
P: polyp
A: adenomyos...
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
Labeled imaging anatomy cases
This article lists a series of labeled imaging anatomy cases by body region and modality.
Brain
CT head: non-contrast axial
CT head: non-contrast coronal
CT head: non-contrast sagittal
CT head: non-contrast axial with clinical questions
CT head: angiogram axial
CT head: angiogram coronal
...
Article
Whirlpool sign (ovarian torsion)
The whirlpool sign or whirl sign of ovarian torsion is characterized by the appearances of a twisted ovarian pedicle seen on US or even on CT.
Terminology
The term whirlpool sign is used in other contexts: see whirlpool sign (disambiguation).
Radiographic features
It appears as twisting of ...
Article
CA 27-29
CA 27-29 is a tumor marker and is a soluble form of glycoprotein MUC1. It may be elevated in patients with breast cancer. Tumors of the colon, stomach, kidney, lung, ovary, pancreas, uterus, and liver may also raise CA 27-29 levels.
Certain non-malignant conditions are also associated with its ...
Article
Vestibule of the vulva
The vestibule of the vulva (vestibule of the vagina in some texts 2) is the area between the labia minora, and posterior to the glans of the clitoris. It marks the boundary between the vagina and the vulva. The urethra, vagina and the greater vestibular glands open out into the vestibule.
Article
Hymen
The hymen (plural: hymens) is a thin fold of mucous membrane which extends across the vaginal opening, usually with some form of internal defect, which permits the free passage of normal menses.
It usually ruptures during coitus with the remnants, usually in the form of small tags of tissue ar...
Article
Frenulum (disambiguation)
Frenulum (plural: frenula) is an anatomical term and refers to a small fold of soft tissue that checks the movement of an anatomical part.
frenulum (clitoris)
frenulum (ileocecal valve)
frenulum (labia minora)
frenulum (penis)
frenulum (tongue)
History and etymology
Frenulum derives from ...
Article
Labia minora
The labia minora (singular: labium minus) are small glabrous cutaneous folds lying between and just superior to the labia majora. At their posterior margin the labia may be conjoined by a thin cutaneous fold of skin, the frenulum of the labia (also known as the fourchette or posterior commissure...
Article
Labia majora
The labia majora (singular: labium majus) form the anteroinferior most part of the vulva, they are continuous with the mons pubis anteriorly and the perineum posteriorly. The labia are apposed in the midline forming the, externally-visible, pudendal cleft.
Gross anatomy
The labia majora have ...
Article
Paraurethral duct
The paraurethral ducts (or Skene ducts) drain the paraurethral glands of the female urethra. There is one duct, draining each gland, on each side, just proximal to the external urethral meatus.
History and etymology
Skene ducts are named after the Scottish-American gynecologist Alexander John...
Article
Mons pubis
The mons pubis (plural: montes pubis) refers to the rounded protuberant skin-covered soft tissue overlying the symphysis pubis (in both sexes). It is most prominent in adult females.
In females it forms the most superior part of the vulva and it is also called the mons Veneris (plural: montes V...
Article
Vulva
The vulva (plurals: vulvas or vulvae), also known as the pudendum, (plural: pudenda) is the collective term given to the female external genitalia.
The vulva consists of the:
mons pubis
labia majora
labia minora
clitoris
bulbs of the vestibule
vestibule of the vulva
vaginal opening
hyme...
Article
Endometrium
The endometrium refers to the inner lining of the uterine lumen, composed of endometrial glands surrounded by loose highly cellular connective tissue.
Gross anatomy
Layers
In women of reproductive age, the endometrium is composed of two layers:
stratum basale (basal layer):
describes the de...
Article
Vaginal cuff
The vaginal cuff (also known as the vaginal remnant) is the remnant tissue after a hysterectomy. The cuff may be evaluated for tumor recurrence (often with ultrasound) if the uterus was removed for cervical or endometrial carcinoma.
Radiographic findings
The appearance of the cuff depends on w...
Article
Gynecologic Imaging-Reporting and Data System (GI-RADS)
The Gynecologic Imaging-Reporting and Data System (GI-RADS) is a reporting system that was created for reporting the findings in adnexal masses based on transvaginal ultrasonography.
Classification
Findings are classified into five categories 1:
GI-RADS 1
normal ovaries identified and no adn...
Article
Vestibule (disambiguation)
A vestibule is an anatomical term and refers to a small cavity at the proximal end of a tube. It may refer to:
vestibule (aorta)
vestibule (ear)
vestibule (larynx)
vestibule (mouth)
vestibule (nose)
vestibule (esophagus)
vestibule (vulva)
History and etymology
Vestibule derives ultimate...
Article
Body imaging
Body imaging is the term assigned to cross-sectional imaging of the body, which radiologically refers to the chest, abdomen and pelvis. It is often used by radiologists who report this region (sometimes known as body imagers/radiologists) to differentiate their primary area of interest from othe...
Article
Obstetrics and gynecology imaging for students (curriculum)
This is a basic article for medical students and other non-radiologists
Obstetrics and Gynecology imaging for students curriculum represents a core set of common pathologies seen on the wards, in theater and in the emergency O&G patient.
Fundamental to most imaging of the O&G patient is an und...
Article
Urogenital triangle
The urogenital triangle forms the anterior half of the diamond-shaped perineum. The triangle's corners are defined by the pubis symphysis anteriorly and the ischial tuberosities anterolaterally. The anterolateral borders are the ischiopubic rami and the posterior border is the transverse perinea...
Article
Fallopian tube segments (mnemonic)
A useful mnemonic to remember the order of the five segments of the fallopian tube, from lateral to medial, the direction an ovum would pass following ovulation, is:
Four INches Across IS IMpossible
Four inches (10 cm) is the approximate length of the fallopian tube.
Mnemonic
F: fimbriae
I...
Article
Anorexia nervosa
Anorexia nervosa is a psychiatric disorder characterized by distorted self-perception of body weight leading to starvation, obsession with remaining underweight, and an excessive fear of gaining weight. One in five patients with anorexia dies due to complications of the disease.
Epidemiology
T...
Article
Ian Donald
Ian Donald (1910-1987) was a Scottish obstetrician who pioneered the diagnostic use of ultrasound in medicine.
Early life
Ian Donald was born in Lisgeard, Cornwall, United Kingdom on 27 December 1910 6. His father was a general practitioner. In 1925 his family moved to South Africa where he at...
Article
Fornix (disambiguation)
The term fornix (plural: fornices) is used for anatomical structures in multiple organ systems that all share an arch-like morphology:
fornix (brain)
fornix (eye)
fornix (lacrimal)
fornix (pharynx)
fornix (renal)
fornix (stomach)
fornix (vagina)
History and etymology
Fornix is Latin for...
Article
Fornix (vagina)
The fornices are superior recesses of the vagina formed by the protrusion of the cervix into the vaginal vault. There is a large posterior fornix and a smaller anterior fornix with two small lateral fornices.
History and etymology
Fornix is Latin for 'arch'.
Article
Post-ablation tubal sterilization syndrome
Post-ablation tubal sterilization syndrome (PATSS) is a recognized delayed complication seen in patients who have undergone both endometrial ablation and tubal sterilization. It has been reported in 6-8% of these patients and occurs when bleeding from residual endometrium is obstructed due to su...
Article
Endometrial ablation
Endometrial ablation is a minimally invasive surgical procedure that involves the destruction of the uterine endometrium commonly performed for menorrhagia in premenopausal or perimenopausal women.
It has evolved as an alternative to hysterectomy and is associated with good outcomes and patient...
Article
Bartholin glands
The Bartholin glands, also known as the greater vestibular glands (or vulvovaginal glands) are paired pea-sized structures, lying on either side of the vaginal opening, and are homologous to the bulbourethral (Cowper) glands in the male. They form part of the vulva.
Gross anatomy
These glands ...
Article
Physiological pelvic intraperitoneal fluid
Physiological pelvic intraperitoneal fluid refers to the presence of a small volume of free fluid in the pelvis, particularly the pouch of Douglas. It occurs in young females of reproductive age and can be a mimic of traumatic free fluid in abdominal trauma.
Unfortunately, pelvic free fluid may...
Article
Surgical hemostatic material
Surgical hemostatic material is used to control bleeding intraoperatively and is hence frequently intentionally left in the operative bed, not to be confused with a gossypiboma which is caused by foreign material left behind in error. Its use has increased with the advent of minimally invasive s...
Article
CDKN2A/p16
CDKN2A (cyclin-dependent kinase inhibitor 2A) is a tumor suppressor gene that encodes for the p16 protein, involved in the CDK4/6–RB1 cell-cycle pathway 5.
p16 is a widely used immunohistochemical marker indicating expression of the cell cycle protein, which is upregulated by human papillomavi...
Article
Pseudo Meigs syndrome
Pseudo Meigs syndrome refers to a clinical syndrome of pleural effusion and ascites associated with an ovarian tumor that is not a fibroma or a fibroma-like tumor.
Pathology
Entities that have been reported to result in pseudo Meigs syndrome include
Krukenberg tumors
colon carcinoma metastas...
Article
Internal iliac lymph nodes
The internal iliac lymph nodes (often shortened to internal iliac nodes) are the lymph nodes found adjacent to the internal iliac artery and its branches and drain the regions supplied by these vessels. This encompasses a large area from the genitalia anteriorly, the psoas muscle posteriorly and...
Article
Inguinal endometriosis
Inguinal endometriosis is an unusual extrapelvic site for endometriosis.
Epidemiology
The estimated incidence is <0.1% among those having endometriosis 4. There is an increased right-sided predilection (~85% of reported cases) 9.
Clinical presentation
Patients may present with a tender groin...
Article
Gonadal artery
The gonadal arteries are the paired primary vascular supply to the gonads: ovaries in the female and the testes in the male. As the anatomy of the gonadal arteries differs substantially between the sexes, they are covered separately:
ovarian arteries
testicular arteries
Article
Broad ligament
The broad ligaments (TA: ligamentum latum uteri or plica lata uteri 4) are the paired lateral folds of the parietal peritoneum which reflect over the upper genital tract in females.
Gross anatomy
The broad ligament extends from the lateral aspect of the uterus to the lateral pelvic wall and ca...
Article
Anatomy curriculum
The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists.
General anatomy
Neuroanatomy
Head and neck anatomy
Thoracic anatomy
Abdominal and pelvic anatomy
Spinal anat...
Article
Superficial perineal pouch
The superficial perineal pouch is an anatomic space below the perineal membrane in the urogenital triangle of the perineum.
Gross anatomy
The superficial perineal pouch is inferior (superficial) to the perineal membrane in the urogenital triangle, anterior to the transverse line between the is...
Article
Deep perineal pouch
The deep perineal pouch is an anatomic space superior (deep) to the perineal membrane in the urogenital triangle of the perineum, anterior to the transverse line between the ischial tuberosities.
Gross anatomy
The deep perineal pouch is above (deep to) the perineal membrane in the urogenital t...
Article
Perineum
The perineum is a diamond-shaped region below the pelvic diaphragm and is divided by an imaginary line drawn between the ischial tuberosities into anteriorly the urogenital triangle and posteriorly the anal triangle.
Gross anatomy
The perineum is bounded by the pubis anteriorly, the ischial tu...
Article
Snowstorm sign (disambiguation)
Snowstorm sign may refer to:
snowstorm sign: complete hydatiform mole (ultrasound)
snowstorm sign: extracapsular breast implant rupture (ultrasound)
snowstorm sign: thyroid pulmonary metastases (chest radiograph)
Article
Endometrial reflectivity (ultrasound grading)
Endometrial reflectivity grading on ultrasound is a system initially proposed by Smith et al. in 1984 which classifies the endometrium into four types according to the echotexture pattern. They are considered to be useful in deciding on receptivity in in-vitro fertilisation (IVF).
The Smith sys...
Article
Benign metastasizing tumors
There are a number of benign metastasizing tumors:
benign metastasizing meningioma 1,2
benign metastasizing leiomyoma 3
primary adenoma of thyroid 4
giant cell tumor of bone 5
Article
Transient physiological myometrial contraction
Transient myometrial contraction is a physiological phenomenon which may mimic focal adenomyosis
Radiographic features
It appears as focal low signal intensity bulge/region of the myometrium which may disappear on subsequent images or at cine MR imaging.
Differential diagnosis
focal adenom...
Article
Deep inguinal lymph nodes
The deep inguinal lymph nodes (often shortened to the deep inguinal nodes) form a subgroup of the inguinal lymph node group, and are located within the femoral sheath, medial to the femoral vein. They receive afferent lymphatic drainage from the deep lymphatics of the distal lower extremity and ...
Article
Endometrial fluid
Fluid in the endometrial cavity can result from a number of causes if excessive and associated with distension.
Pathology
There are essentially three types of fluid:
hydrometra: simple fluid
hematometra: hemorrhagic content / clot
pyometra: pus
Premenopausal
normal (i.e. physiological)
...
Article
Ovarian fibrosarcoma
Ovarian fibrosarcoma is a malignant mesenchymal fibroblastic tumor of the ovary that has multiple mitotic figures which is the most important factor in histopathological diagnosis (4 or more mitotic figure per 10 high power fields).
Epidemiology
Ovarian fibrosarcoma is a very rare malignant o...
Article
Risk of malignancy index in ovarian tumors
The risk of malignancy index (RMI) in ovarian tumors is a validated clinical tool used for risk stratification of ovarian lesions, to guide further management 1-3.
Classification
The score incorporates the patient's menopausal status (M), ultrasound features of the lesion (U), and the serum CA...
Article
Human epididymis protein 4
Human epididymis protein 4 (HE4) is an emerging serum biomarker in the assessment of epithelial ovarian tumors. HE4 is a member of the whey associated protein (WAP) gene cluster and has uncertain biological function 1.
Early results indicate that HE4 has higher sensitivity and specificity than ...
Article
Metastases to the vagina
Metastases to the vagina are more common than primary vaginal malignancies and account for >80% of vaginal tumors.
Pathology
Metastases usually spread from contiguous sites most commonly, with lymphatic and hematogenous metastases also recognized.
Tumors that metastasize to the vagina include...
Article
Longitudinal vaginal septum
A longitudinal vaginal septum is a congenital abnormality of the vagina where it is divided into two parallel cavities by a septum.
Clinical presentation
It is usually asymptomatic unless obstructed, in which case it may cause cyclic pelvic pain. Amenorrhea may occur if both cavities are obstr...
Article
Female infertility
Female infertility is common and can be due to a number of factors. Radiology often plays a key part in the work up.
Pathology
Etiology
Often more than one factor (including male infertility) is the cause of infertility, some of the common significant risk factors for infertility are listed ...
Article
Infertility
Infertility is common, affecting 15-20% of couples, and is defined as the inability to conceive after one year of regular unprotected intercourse 3,4. Subfertility is a synonym 4. It can be due to a variety of both female and male factors, and these are discussed in separate articles:
female in...
Article
Bridging vessel sign
The bridging vessel sign refers to an appearance of vessels coursing from the uterus into an adjoining pelvic mass (a vascular bridge). This sign helps to differentiate a pedunculated subserosal uterine leiomyoma from other juxtauterine masses of ovarian, adnexal or bowel origin.
Color and powe...
Article
Subendometrial halo
The subendometrial halo is a hypoechoic stripe formed at the innermost part of the myometrium directly bordering the endometrium. It is important to assess its continuity in order to rule out myometrial invasion in endometrial carcinoma.
This hypoechoic line may be thickened in case of adenomyo...
Article
Indium-111 OncoScint
Indium-111 OncoScint is a radiopharmaceutical used in SPECT imaging. It is a labeled monoclonal antibody that is directed against TAG-72, which is a tumor-associated antigen associated with ~95% of colorectal carcinomas and 100% of ovarian carcinomas 1,2. Background hepatic uptake limits sensiti...
Article
Cumulus oophorus
Cumulus oophorus refers to an appearance in the ovary in which multiple granulosa cells enlarge around a developing oocyte. These support cells ("cumulus cells") serve multiple functions in the maturation of the oocyte. They may occasionally be seen during a pelvic ultrasound, and should not be ...
Article
MR defecating proctography
MR defecating proctography is a dynamic study for evaluation of the pelvic floor and pelvic organ prolapse.
Phases
There are four phases of evaluation:
rest
squeeze
strain (Valsalva)
defecation/evacuation
Method of evaluation
Many variations in the techniques described below exist.
Pati...
Article
Valsalva maneuver
The Valsalva maneuver is the forced expiration of air against a closed airway, resulting in increased intra-abdominal, intrathoracic, and pharyngeal pressure. It can be performed against a closed glottis or by one closing the mouth and pinching the nose while forcibly exhaling.
It is commonly u...
Article
Hereditary breast and ovarian cancer syndrome
Hereditary breast and ovarian cancer (HBOC) syndrome is caused by a mutation to either BRCA1 or BRCA2 genes. These patients have an increased risk of breast cancer, ovarian cancer, pancreatic cancer and prostate cancer. However, these gene mutations are not the only cause of hereditary breast ca...
Article
IOTA ultrasound rules for ovarian masses
The International Ovarian Tumor Analysis (IOTA) group ultrasound rules for ovarian masses are a simple set of ultrasound findings that classify ovarian masses into benign, malignant or inconclusive masses. These rules apply to masses that are not a classical ovarian mass (e.g. corpus luteum, end...
Article
Missing IUCD
A missing IUCD is considered when the retrieval strings of certain types of intrauterine contraception devices (IUCD) cannot be seen on physical examination.
The possibilities are
expulsion of IUCD
migration of IUCD
detachment of IUCD thread
uterine perforation in IUCD
embedded IUCD
Ultra...
Article
Endometriosis of canal of Nuck
Endometriosis affecting the canal of Nuck is an extremely rare site for endometriosis. It is proposed that retrograde implantation of endometrial tissue into patent canal of Nuck could give rise to the condition.
Clinical presentation
The condition is presented as a painful inguinal swelling. ...
Article
T2 dark spot sign (endometrioma)
T2 dark spot sign is an MRI appearance of endometriomas seen as a result of chronic hemorrhage. The sign is useful in differentiating a solitary endometrioma from a functional hemorrhagic ovarian cyst, as both might show high T1 signal with T2 shading.
The T2 dark spot, described in the sign, ...
Article
Malignant ovarian lesions (sonographic features)
Malignant ovarian lesions can have typical sonographic features, and thus ultrasound is the imaging of choice for initial evaluation of suspected ovarian neoplasm.
Radiographic features
The features of malignant ovarian neoplasm on ultrasonography include:
solid tumor
mass >10 cm with locula...
Article
Differential diagnosis of free fluid in cul de sac (pouch of Douglas)
The cul-de-sac, also known as the pouch of Douglas or rectouterine pouch, is an extension of the postero-inferior reflection of the peritoneal fold between the uterus (anteriorly) and rectum (posteriorly). It is the most inferior aspect of the peritoneal cavity and therefore the first location w...
Article
Vulval neoplasms
Vulval neoplasms are rare and mostly seen in elderly female patients. Squamous cell carcinoma (SCC) is the most common malignancy of the vulva and only 30% of them are associated with oncogenic human papillomaviruses (HPVs).
Pathology
Squamous neoplastic lesions
Premalignant
classic vulvar...
Article
Uterine artery pseudoaneurysm
Uterine artery pseudoaneurysm (UAP) is a rare cause of secondary postpartum hemorrhage.
Clinical presentation
UAP usually presents as delayed (secondary) postpartum hemorrhage, that is per vaginal bleeding which occurs more than 24 hours and up to 6 weeks postpartum. However, some reported ca...
Article
Christmas inspired signs
There are many signs in radiology that are related to Christmas:
snowcap sign in avascular necrosis
snowman sign
in total anomalous pulmonary venous return
in pituitary macroadenomas
snowstorm appearance in complete hydatidiform and testicular microlithiasis
holly leaf sign in calcified pl...
Article
Papillary squamous cell carcinoma of the cervix
Papillary squamous cell carcinoma (PSCC) of the cervix is a distinct subtype of squamous cell carcinoma of the cervix.
Pathology
These tumors are characterized by a papillary architecture containing fibrovascular cores and moderate to severe dysplasia without any frank keratinization and koilo...
Article
Cesarean section scar diverticulum
Cesarean section scar diverticulum is a form of outpouching located in the anterior lower uterine cavity at the site of cesarean section scar.
There is some similarity with the term cesarean scar niche.
Clinical presentation
mostly asymptomatic
postmenstrual spotting
Radiographic fe...
Article
Uterine biophysical profile
Uterine biophysical profile is a sonographic examination of the uterus that assess seven sonographic characteristics used to predict successful conception.
Uterine scoring system for reproduction (USS)
The uterine scoring system for reproduction comprises the following parameters, taken in mi...
Article
Cervical plicae palmatae
Cervical plicae palmatae are normal folds seen on the anterior and posterior walls of the cervical canal. They are often described as longitudinal ridges or oblique elevation.
Sometimes they are identified on MRI, and one must make sure not to misinterpret this finding as abnormal. Studies repo...
Article
Corpus albicans
The corpus albicans is a fibrous scar that results from the involution of the corpus luteum if fertilisation does not occur. When seen on ultrasound, it is a small, lobulated echogenic intra-ovarian lesion.
History and etymology
It is Latin for "whitening body", after the white appearance of ...
Article
Ovarian hyperthecosis
Ovarian hyperthecosis (OHT) is a condition where there is a presence of luteinized thecal cells within a hyperplastic ovarian stroma.
Clinical presentation
Clinical manifestations include hyperandrogenism, obesity, hypertension, and impaired glucose tolerance. Virilization has been reported to...
Article
Corpus luteal cyst rupture
Ruptured corpus luteal cysts are one of the commonest causes of spontaneous hemoperitoneum in a woman of reproductive age.
Clinical presentation
Presentation is variable, ranging from completely asymptomatic to severe abdominal pain due to peritoneal irritation.
Pathology
The corpus luteum i...
Article
Endometrioid adenocarcinoma of the endometrium
Endometrioid carcinoma of the endometrium is the most common histological subtype of endometrial carcinoma accounts for 85-90% of cases. It is considered a type I carcinoma of the uterus with slow progression and a relatively good prognosis. Patients are usually 55 to 65 years old.
Pathology
...
Article
Sonohysterography
Sonohysterography, also referred as saline-induced sonohysterography (SIS), is an ultrasound technique that better characterizes the uterine cavity and endometrium. It is particularly useful for evaluation of endometrial polyps.
Indications
fertility evaluation / recurrent pregnancy loss
intr...
Article
Serous inclusion cysts of the ovary
Serous inclusion cysts of the ovary are benign cysts typically seen in postmenopausal women. They are typically small (i.e. less than 5 cm), smooth walled and have no septations or solid components. They can alter through time and often disappear.
See also
ovarian cysts
Article
Vesicovaginal reflux
Vesicovaginal reflux is a well-known entity rarely encountered by radiologists. It is a behavioral disorder, a type of dysfunctional elimination syndrome commonly encountered in pre-pubertal girls. It is defined as reflux of urine into the vaginal vault either in supine or upright position durin...
Article
Secondary involvement of the ovary with lymphoma
Secondary involvement of the ovary with lymphoma is more common than primary ovarian lymphoma. It usually occurs as a late manifestation of advanced systemic disease and is almost always of the non-Hodgkin type.
Article
Ovarian embryonal carcinoma
Ovarian embryonal carcinomas are rare and malignant germ cell tumors of the ovary.
Epidemiology
It is found predominantly in children and adolescents (average age 14 years).
Clinical presentation
Precocious puberty or menstrual irregularity occurs in 60% 2. The tumor can secrete beta-hCG and...
Article
MRI reporting guidelines for cervical cancer
MRI reporting guidelines for cervical cancer help maintain uniformity of reports and assessment of important imaging staging criteria.
Tumor size
The tumor should be measured in three orthogonal planes. Tumors with a maximum diameter >4 cm are usually not amenable to primary radical surgery.
...
Article
Pelvic ultrasound
Pelvic ultrasound is usually the initial modality for imaging gynecologic pathology, including acute pelvic pain and chronic pelvic pain. The exam normally involves two components: a transabdominal (TA) evaluation and a transvaginal (TV) / endovaginal (EV) evaluation.
Normal ultrasound anatomy
...
Article
Menouria
Menouria, also called Youssef syndrome, is an uncommon condition in which a vesicouterine fistula results in cyclic hematuria. Vesicouterine fistulas are the rarest of all urinary fistulas, accounting for just 4% of all such fistulas 3. It occurs most commonly after cesarean section.
Clinical p...
Article
Chronic pelvic pain
Chronic pelvic pain is a common presenting symptom to primary care physicians and radiologists. Pelvic ultrasound with transabdominal and endovaginal approaches are usually the first-line imaging modality. MRI may be performed as an adjunct test.
Clinical presentation
non-cyclical pain (exclud...
Article
Imperforate hymen
Imperforate hymen is a congenital condition in which the hymen lacks a normal opening.
Epidemiology
It happens in 0.1% of the female population, usually an isolated finding.
Clinical presentation
Primary amenorrhea with cyclic lower abdominal pain during menarche age. An imperforate hymen c...
Article
Female reproductive system
The female reproductive system (or tract) comprises the vulva, vagina, uterus, uterine tubes and ovaries.
It can be imaged using a wide range of imaging modalities but ultrasound and MRI are most useful.
Article
Abdominal and pelvic anatomy
Abdominal and pelvic anatomy encompasses the anatomy of all structures of the abdominal and pelvic cavities.
This anatomy section promotes the use of the Terminologia Anatomica, the international standard of anatomical nomenclature.
Article
Ruptured ovarian cyst
Ruptured ovarian cysts are one of the most common causes of acute pelvic pain in premenopausal women. The sonographic appearance depends on whether a simple or hemorrhagic ovarian cyst ruptures, and whether the cyst has completely collapsed. The most important differential consideration is a rup...
Article
Acute pelvic pain
Acute pelvic pain is a common presenting symptom to the emergency department and radiologist. Pelvic ultrasound with transabdominal and endovaginal approaches is usually the first line imaging modality.
Clinical presentation
non-cyclical pain usually of more acute onset
pain of <3 months dura...
Article
3D ultrasound
Three-dimensional (3D) ultrasound is a technique that converts standard 2D grayscale ultrasound images into a volumetric dataset. The 3D image can then be reviewed retrospectively. The technique was developed for problem-solving (particularly in obstetric/gynecologic exams) and to potentially re...
Article
Adnexa (disambiguation)
Adnexa (single/plural) is a general term that refers to the accessory structures of an organ.
Adnexa have been described in relation to:
cutaneous/skin adnexa
hair follicles, sweat glands, nails
adnexa mastoidea
structures in the mastoid (posterior) wall of the middle ear, e.g. mastoid antr...