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Müllerian duct anomaly classification

The Müllerian duct anomaly classification is a seven-class system that can be used to describe a number of embryonic Müllerian duct anomalies: class I: uterine agenesis/uterine hypoplasia a: vaginal (uterus: normal/variety of abnormal forms) b: cervical c: fundal d: tubal e: combined clas...

Mullerianosis

Mullerianosis is a rare type of choristoma, in which normal Mullerian-derived structures (endometrium, endosalpinx, and endocervix) are ectopically located in another organ (e.g. the bladder) through a developmental anomaly. Mullerianosis differs from endometriosis in that at least two types of ...

Multiple pterygium syndrome

The multiple pterygium syndrome(s) (MPS) refers to a group of disorders which are collectively characterized by multiple soft tissue webs (or pterygia) across the neck and various joints. They can be broadly classified into two main groups lethal multiple pterygium syndrome non lethal multipl...

MURCS association

MURCS association refers to the combination of: MU: Müllerian duct aplasia R: renal aplasia /renal agenesis CS: cervicothoracic somite dysplasia See also Mayer-Rokitansky-Kuster-Hauser syndrome

Mushroom cap sign

Mushroom cap sign is one of the important signs of deep rectosigmoid endometriosis seen on T2 weighted MRI sequence. It indicates the submucosal involvement in the rectosigmoid colon. The hypertrophic muscularis propria appears as heterogeneous low signal intensity surrounded by the high signal...

Myometrial cysts

Myometrial cysts are cysts seen in the myometrium and these can be differentiated appropriately based on location and sonological or Doppler features. Pathology Etiology They can arise from variable etiology and include: adenomyosis: these cysts are most often seen in the endomyometrial junc...

Myxoid degeneration of a leiomyoma

Myxoid degeneration of a leiomyoma is one of the rarer types of degeneration that can occur in a standard 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 higher end o...

Myxoid uterine leiomyoma

Myxoid uterine leiomyomas are a relatively rare pathological subtype of uterine leiomyomas. Terminology They are not to be confused with myxoid degeneration of a uterine leiomyoma which is a different entity. Pathology Myxoid leiomyomas contain abundant myxoid material between smooth muscle ...

Nabothian cyst

Nabothian cysts, also known as a retention cysts of the cervix 11, are non-neoplastic cystic lesions that occur in relation to the uterine cervix. Terminology Nabothian is generally written without capitalization, i.e. 'nabothian', and not 'Nabothian', as it is an adjectival form derived from ...

Naegele's formula

The Naegele's formula is simple arithmetic method for calculating the EDD (estimated date of delivery) based on the LMP (last menstrual period). To the date of the first day of the LMP (e.g. 22nd June 2008): add seven days (i.e 29th) subtract 3 months (i.e March) add one year (i.e 2009)

Neu-Laxova syndrome

Neu-Laxova syndrome is a lethal autosomal recessive multiple malformation syndrome with a heterogeneous phenotype. Clinical presentation The clinical spectrum can be quite wide and includes: dermal / cutaneous severe skin restriction ichthyosis decreased fetal movement marked intrauterine...

Neural tube defects

Neural tube defect (NTD) refers to the incomplete closure of the neural tube in very early pregnancy, resulting in cranial defects or spinal dysraphism. The neural tube comprises of a bundle of nerve sheath which closes to form brain caudally and spinal cord rostrally. The closure should occur ...

Non-gestational choriocarcinoma

Non-gestational choriocarcinoma is choriocarcinoma occurring in the absence of a preceding gestation. As opposed to gestational choriocarcinoma, this is a much rarer situation. Pathology In women, they often tend to occur in the ovary. Most ovarian non-gestational choriocarcinomas occur in mix...

Noonan syndrome

Noonan syndrome (NS) is a genetically and phenotypically heterogeneous non-aneuploidic congenital RASopathy. Affected individuals can bear some clinical features similar to that of Turner syndrome. Epidemiology The estimated incidence is at ~1 in 1000-2500 10. As individuals have normal numbe...

Noonan syndrome with multiple lentigines

Noonan syndrome with multiple lentigines, previously known as LEOPARD syndrome (LS), is a rare autosomal dominant RASopathy that has many similarities to Noonan syndrome. Clinical presentation Despite a change in formal name, the 'LEOPARD' acronym is still useful to summarize the clinical feat...

Nuchal cord

Nuchal cord is a term given to the situation where there are one or more loops of umbilical cord wrapped around the fetal neck for ≥360°. Epidemiology The prevalence is dependent on the extent of coiling and range from ~25% for a single loop to 2.5% for a double loop to ~0.5% for more than two...

Obstetric curriculum

The obstetric curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core obstetric knowledge. Definition Topics pertaining to the normal and abnormal pregnancy, the gravid uterus and fetal environment, placenta, normal fetal development and fet...

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...

Omphalomesenteric duct cyst

An omphalomesenteric duct cyst is a type of true umbilical cord cyst. Pathology The omphalomesenteric duct serves as a communication between the midgut and yolk sac In early embryonic life and usually obliterates between the 9-18th week of gestation. The omphalomesenteric duct cyst is an embry...

Oral-facial-digital syndromes

Oral-facial-digital syndromes (OFDS) are a group of rare genetic developmental disorder that affects the mouth, face, digits and also may cause some problems on the central nervous, kidney and the other organs. Classification Some publications have classified at least 13 forms of OFDS based on...

Ovarian adenofibroma

An ovarian adenofibroma is a type of ovarian epithelial tumor. Many authors however overlap this entity with an ovarian cystadenofibroma and consider these tumors often as part of an adenofibroma - cystadenofibroma spectrum. Pathology Adenofibromas are benign compound tumors composed of interm...

Ovarian-adnexal reporting and data system

The ovarian-adnexal reporting and data system (O-RADS) is an ultrasound risk stratification and management system for the evaluation of ovarian and other adnexal masses. These recommendations function have been published to guide the management of "average-risk patients without acute symptoms" ...

Ovarian artery

The ovarian artery is a paired structure and is the main gonadal artery in females. Gross anatomy Origin The ovarian artery arises anterolaterally from the aorta just inferior to the renal arteries and superior to the inferior mesenteric artery (between L2 and L3). Course Descends caudally ...

Ovarian borderline mucinous cystadenoma

Ovarian borderline mucinous cystadenomas are a subtype of ovarian mucinous tumors and, as the name stands, are intermediate between mucinous cystadenomas and mucinous cystadenocarcinomas. Epidemiology They account for ~ 10-15% of all ovarian mucinous tumors. Pathology They are microscopicall...

Ovarian cancer (staging)

The most commonly adopted ovarian cancer staging system is the FIGO staging system. The most recent 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 ...

Ovarian carcinoid tumors

Ovarian carcinoid tumors are very rare sub type of ovarian tumor. They are usually classified under ovarian germ cell tumors (monodermal teratoma 5). The term carcinoid tumor of the ovary can be used to described primary ovarian carcinoid tumors or metastatic carcinoid tumors to the ovary. The f...

Ovarian choriocarcinoma

An ovarian choriocarcinoma is a rare sub type of ovarian germ cell tumor. Epidemiology They account for less than 1% of ovarian tumors. Clinical presentation In pre-menarchal patients, the tumors manifest with iso-sexual precocity (approximately 50% of cases) and other symptoms associated w...

Ovarian cyst

Ovarian cysts are commonly encountered in gynecological imaging, and vary widely in etiology, from physiologic, to complex benign, to neoplastic. Pathology Small cystic ovarian structures should be considered normal ovarian follicles unless the patient is pre-pubertal, post-menopausal, pregnan...

Ovarian cystadenocarcinofibroma

An ovarian cystadenocarcinofibroma (CACF) is an extremely rare ovarian tumor. The tumor has a fibrous component is considered as the malignant counterpart of an ovarian cystadenofibroma (CAF) 1. There is very little literature on the imaging findings of these.

Ovarian cystadenofibroma

Ovarian cystadenofibromas are a relatively uncommon benign epithelial ovarian tumor where the fibrous stroma remains a dominant component of the neoplasm. As a group, they are thought to represent ~1.7 % of all benign ovarian tumors 3. Pathology Lesions can be bilateral in ~15% of cases. Altho...

Ovarian cystadenoma

Ovarian cystadenoma is a broad term given to a certain types of ovarian epithelial tumors. This can include ovarian serous cystadenoma ovarian borderline serous cystadenoma ovarian mucinous cystadenoma ovarian borderline mucinous cystadenoma ovarian cystadenofibroma See also ovarian tumors

Ovarian cystic neoplasms

Ovarian cystic neoplasms can be either benign or malignant and can arise from epithelial, stromal, or germ cell components. In general, the risk of malignancy in unilocular cystic tumors <10 cm in women over the age of 50 years is thought to be low 3-4. benign ovarian mature cystic teratoma c...

Ovarian dysgerminoma

Ovarian dysgerminomas are a type of germ cell tumor of the ovary. They are the most common malignant germ cell tumors of the ovary and are thought to account for ~1% of all ovarian neoplasms 5. Epidemiology They are rare ovarian tumors that occur predominantly in young women (majority occurrin...

Ovarian ectopic pregnancy

Ovarian ectopic pregnancies are rare (1-3%) when compared to other types of ectopic pregnancy such as tubal ectopic. Pathology Risk factors Risk factors include pelvic inflammatory disease, IUCD use, endometriosis, in vitro fertilisation-embryo transfer 3, and previous adnexal surgery 4. Pa...

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...

Ovarian fibroma

Ovarian fibromas are a benign ovarian tumor of sex cord / stromal origin. Although fibromas account for ~4% of all ovarian neoplasms, they are the most common sex cord ovarian tumor. Epidemiology Fibromas occur at all ages but are most frequently seen in middle-aged women. Clinical presentati...

Ovarian fibromatosis

Ovarian fibromatosis (OF) refers to a rare benign phenomenon where there is tumor-like ovarian enlargement due to diffuse ovarian fibrosis. Epidemiology It may have a predilection towards younger pre-menopausal females (age range around 13-39 years) with a mean age of presentation of 25 years ...

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...

Ovarian fibrothecoma

Ovarian fibrothecomas comprise tumors in the spectrum of ovarian sex cord / stromal tumors where there are components of both an ovarian fibroma and an ovarian thecoma. Epidemiology Most occur in adult women, with ~66% in postmenopausal women. Although they account for ~1% of all ovarian tumo...

Ovarian follicle

An ovarian follicle (also known as a Graafian follicle in its mature state) is the basic unit of female reproductive biology and is composed of roughly spherical aggregations of cells. It contains a single oocyte. An ovarian follicle can be initiated to grow and develop, culminating in ovulati...

Ovarian follicular cyst

An ovarian follicular cyst is type of simple physiological ovarian cyst. Terminology The terms "ovarian cyst" and "ovarian follilcular cyst" are often used interchangeably. These two terms describe lesions >3 cm, and it is important to differentiate them from an "ovarian follicle" which is <3 ...

Ovarian hyperstimulation syndrome

Ovarian hyperstimulation syndrome (OHSS) is a complication of ovarian stimulation treatment (ovarian induction therapy) for in vitro fertilisation. Rarely, it may also occur as a spontaneous event in pregnancy (see spontaneous ovarian hyperstimulation later in the article). The clinical syndrom...

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...

Ovarian lesions with T2 hypointensity

A hypointense ovarian lesion on T2 weighted MRI is usually a sign of benignity. The low signal is considered to be due to fibrosis and blood products 1. Lesions that can give this appearance include 1: endometrioma Brenner tumor ovarian fibroma ovarian fibrothecoma ovarian cystadenofibrom...

Ovarian lymphoma

Ovarian lymphoma can refer to primary involvement of the ovaries with lymphoma (i.e. primary ovarian lymphoma): very rare secondary ovarian involvement of the ovaries with generalized lymphoma (i.e. secondary ovarian lymphoma): more common scenario

Ovarian mucinous cystadenocarcinoma

Mucinous cystadenocarcinoma of the ovary is a rare malignant ovarian mucinous tumor. This type can account for 5-10% of all ovarian mucinous tumors. It is a type of ovarian epithelial tumor. Pathology Retrospective studies have suggested that many mucinous carcinomas initially diagnosed as pr...

Ovarian mucinous cystadenoma

Mucinous cystadenoma of the ovary is at the benign end of the spectrum of mucin-containing epithelial ovarian tumors. Epidemiology The estimated peak incidence is at around 30-50 years of age. They comprise approximately 80% of mucinous ovarian tumors and 20-25% of all benign ovarian tumors....

Ovarian mucinous tumors

Ovarian mucinous tumors are a subgroup of ovarian epithelial tumors. They represent 10-15% of all ovarian tumors and ~10% of all malignant ovarian tumors. They are subdivided according to their malignant potential and clinical behavior into: ovarian mucinous cystadenoma ovarian borderline muci...

Ovarian serous cystadenocarcinoma

Ovarian serous cystadenocarcinoma is the malignant form of ovarian serous tumor, the most common type of ovarian epithelial tumor. It is the most common type of ovarian malignancy. Increasingly, high-grade serous carcinoma and low-grade serous carcinoma are recognized as distinct tumor types ra...

Ovarian serous cystadenoma

Ovarian serous cystadenomas are a type of benign ovarian epithelial tumor at the benign end of the spectrum of ovarian serous tumors. Terminology Serous ovarian tumors are traditionally described with a "cyst-" prefix because of their primarily cystic composition, e.g. cystadenoma, cystadenoca...

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 ...

Ovarian Sertoli-Leydig cell tumor

Ovarian Sertoli-Leydig cell tumors (SLCT), also known as an ovarian androblastomas, are a subtype of ovarian sex cord-stromal tumor. Epidemiology They are rare and only account for ~0.5% of all ovarian tumors. While they can present at any age, they typically present <30 years old, with a mean...

Ovarian teratoma

Ovarian teratomas is the most common group of ovarian germ cell tumors. They can be divided into 3 main sub types mature ovarian teratoma immature ovarian teratoma specialized teratoma struma ovarii tumor See also ovarian tumors

Ovarian thecoma

Ovarian thecomas are benign ovarian tumors of sex cord / stromal (mesenchymal) origin. They are thought to account for approximately 0.5-1% of all ovarian tumors. As ovarian thecomas secrete estrogen, they are described as functional ovarian tumors. Epidemiology They typically present in older...

Ovarian torsion

Ovarian torsion, also sometimes termed adnexal torsion or tubo-ovarian torsion, refers to rotation of the ovary and portion of the fallopian tube on the supplying vascular pedicle. It can be intermittent or sustained and results in venous, arterial and lymphatic stasis. It is a gynecological e...

Ovarian transposition

Ovarian transposition is a surgical procedure in which the ovaries are displaced from the pelvis before pelvic radiation therapy in order to protect them from radiation injury. It is performed in premenopausal women with a variety of pelvic malignancies (e.g cervical cancer, rectal cancer, and ...

Ovarian tumors

Ovarian tumors are relatively common and account for ~6% of female malignancies. This article focuses on the general classification of ovarian tumors. For specific features, refer to the subarticles. Pathology Subtypes Primary ovarian tumors Surface epithelial-stromal ovarian tumors (60-70%)...

Ovarian tumors associated with endometrial thickening

There are several ovarian tumors associated with endometrial thickening and is often due to oestrogenic effects of the ovarian tumor. Such tumors include: ovarian epithelial tumors endometroid carcinoma of the ovary may have synchronous endometrial carcinoma or endometrial hyperplasia, prese...

Ovarian vein syndrome

Ovarian vein syndrome is a relatively rare condition where a dilated ovarian vein (ovarian venous varix) causes notching, dilatation, or obstruction of the ureter. This is usually secondary to varicoses of the ovarian vein or ovarian vein thrombosis and occurs at the point where the ovarian vein...

Ovarian vein thrombosis

Ovarian vein thrombosis (actually most often thrombophlebitis) occurs most commonly in postpartum patients and can result in pulmonary emboli. A presentation is usually with acute pelvic pain in the postpartum period, then termed puerperal ovarian vein thrombosis or postpartum ovarian vein throm...

Ovarian yolk sac tumor

Ovarian yolk sac tumors, also known as endodermal sinus tumors, are a type of ovarian germ cell tumors. Epidemiology Ovarian yolk sac tumor is a rare malignant ovarian germ cell tumor that usually occurs around the second decade of life. It is considered the most common malignant germ cell tum...

Ovary

The ovaries are paired female gonads of the reproductive and endocrine systems. They lie within the ovarian fossa on the posterior wall of the true pelvis. Gross anatomy The ovaries are firm and ovoid in shape and measure approximately 1.5-3.0 cm × 1.5-3.0 cm × 1.0-2.0 cm (length x width x th...

Overlapping fetal fingers

Overlapping fetal fingers is an antenatal ultrasound observation where the fetal fingers are seen to overlap each other. It may be seen seen with a concurrent clenched fetal hand. If the hand is clenched typically the 2nd finger is seen to overlap the 3rd 4. Pathology Associations a well re...

p16

p16 is a widely used immunohistochemical marker indicating expression of the cell cycle protein cyclin-dependent kinase inhibitor 2A, which is upregulated by human papillomavirus (HPV) infection. In the uterine cervix, p16 positivity supports the diagnosis of a high-grade squamous intraepithelia...

Papillary serous carcinoma of the cervix

A papillary serous carcinoma of the cervix (PSCC) is an uncommon histological type of cervical cancer. It is considered a sub type of adenocarcinoma of the cervix. Epidemiology Accodring to some studies, there was a bimodal age distribution, with one peak occurring before the age of 40 years ...

Papillary serous carcinoma of the endometrium

Papillary serous carcinoma of the endometrium is an uncommon histological subtype of endometrial carcinoma accounting for only 5-10% of all such tumors 2. It is considered type II endometrial adenocarcinoma and has a clinically aggressive form with an early extension of the tumor via Fallopian t...

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 of frank keratinization and ko...

Parametrium

The parametrium is a band of fibrous tissue that separates the supravaginal portion of the cervix from the bladder. It extends on to its sides and laterally between the layers of the broad ligaments. The uterine artery and ovarian ligament are located in the parametrium. The parametrium is imp...

Paraovarian cyst

Paraovarian cysts (POCs) are remnants of Wolffian duct in the mesosalpinx that do not arise from the ovary. They account for ~10-20% of adnexal masses 3,4. Terminology Paraovarian cysts are also sometimes referred to as paratubal cysts or hydatid cysts of Morgagni 14. Epidemiology They typic...

Paraovarian cystadenoma

Paraovarian cystadenoma is a usually benign adnexal tumor that does not arise from the ovary. There is an association with Von Hippel Lindau syndrome. Radiographic features Pelvic ultrasound typically seen as a unilateral cystic adnexal lesion may be a simple cyst, or contain solid nodular a...

Parasitic leiomyoma

Parasitic leiomyomas are considered a type of extra-uterine leiomyoma and present as peritoneal pelvic benign smooth-muscle masses separate from the uterus. Pathology It likely originates as a pedunculated subserosal leiomyoma that twists and torses from its uterine pedicle. The contact with ...

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...

Paraurethral duct cyst

Paraurethral duct cysts are retention cysts that form secondary to inflammatory obstruction of the paraurethral (Skene) ducts in females. Pathology The cysts are lined by stratified squamous epithelium due to their origin from the urogenital sinus. Clinical presentation Usually asymptomatic....

Partial hydatidiform mole

Partial hydatidiform mole is a type of hydatidiform mole, which in turn falls under the spectrum of gestational trophoblastic disease. Clinical presentation Clinical signs and symptoms such as abdominal pain, cramps of the lower abdomen and vaginal bleeding during pregnancy are common but non...

Parturition-induced pelvic instability

Parturition-induced pelvic instability is a rare condition seen in women following vaginal delivery. Epidemiology The incidence of symphyseal rupture after vaginal delivery ranges from one in 600 to one in 30,000 deliveries 1. Predisposing factors include multiparity, complicated delivery, ...

Pelvic abscess

A pelvic abscess refers to a walled-off collection of pus in the pelvis. Pathology Etiology Some of the causes include: pelvic inflammatory disease (tubo-ovarian abscess) iatrogenic e.g. post surgical inflammatory bowel disease pelvic actinomycosis infection diverticulitis Clinical pre...

Pelvic actinomycosis infection

Pelvic actinomycosis infection is rare but serious infection caused by Actinomyces sp., an opportunistic gram-positive bacteria usually introduced by foreign bodies specially IUCDs, surgery, or trauma. It generally falls under the broader spectrum of pelvic inflammatory disease. Pathology Pelv...

Pelvic cervical carcinoma protocol (MRI)

A dedicated pelvic MRI protocol is very useful for imaging assessment of cervical carcinoma. Although the FIGO is a clinical staging, the 2009 revised FIGO staging encourages the use of MRI to complement clinical staging. Preparation Imaging is optimally performed after three hours of fasting...

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. It is a commonly missed and potentially-treatable cause of chronic abdominopelvic pain. Epidemiology It tends to be more common ...

Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is a broad term that encompasses a spectrum of infection and inflammation of the upper female genital tract, resulting in a range of abnormalities. Epidemiology The highest incidence is seen among sexually-active women in their teens, with 75% cases being und...

Pelvic lipomatosis

Pelvic lipomatosis or pelvic fibrolipomatosis represents excessive deposition of fat in pelvis due to overgrowth of adipose cells leading to compression of pelvic organs. Epidemiology The condition usually presents in patients 20-50 years of age. The condition is predominantly (~66% of cases) ...

Pelvic masses in females

Pelvic masses in females carry a broad differential diagnosis: benign adnexal cyst: 34% leiomyoma: 14% pelvic malignancy: 14% dermoid: 13% endometriosis: 10% pelvic inflammatory disease: 8% tubo-ovarian abscess hydrosalpinx pregnancy Extra-gynecological masses, e.g. colorectal carcinom...

Pelvic MRI protocol: endometrial carcinoma

A dedicated MRI protocol is crucial for accurate MRI evaluation of endometrial carcinomas. Imaging is optimally performed after 3 hours of fasting to reduce bowel peristalsis and following administration of an antiperistaltic agent unless contraindicated. Supine position using a pelvic phased ...

Pelvic pain in the exam

It is important to have a systematic way of approaching a case with pelvic pain in the exam. Most examinations are performed using ultrasound. Always say that you would further assess the uterus with 3D ultrasound. You may also say that in my department we would perform a sonohysterogram. Only...

Pelvic protocol for endometriosis (MRI)

Evaluation of known endometriosis with MRI requires a slightly different protocol to a routine pelvic MRI (see Pelvic MRI protocol: routine), and should probably be reserved for known cases of endometriosis rather than for the assessment of pelvic pain. IV (or IM) Buscopan® is administered to r...

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 ...

Pelvis

The term pelvis (plural: pelvises or pelves) can refer to either the bony pelvis or the pelvic cavity. Bony pelvis The bony pelvis is formed by the sacrum and coccyx and a pair of hip bones ("ossa coxae"), which are part of the appendicular skeleton. Its primary function is the transmission of...

Perigestational hemorrhage

Perigestational hemorrhage refers to hemorrhage that occurs around the fetus during the gestational period. The spectrum of hemorrhage includes: chorionic hemorrhage: caused by the separation of the chorion from the endometrium subchorionic hemorrhage: most common type, occurs between the cho...

Perigestational hemorrhage in the exam

Getting a film with perigestational hemorrhage in the exam is one of the many exam set-pieces that can be prepared for. Description Transabdominal and transvaginal (TV) pelvic ultrasound shows an anteverted uterus with an intrauterine gestational sac. MSD is 20 mm in TV study with a single, l...

Perinatal lethal hypophosphatasia

Perinatal lethal hypophosphatasia (PLH) is the most severe form of hypophosphatasia. If untreated, it is lethal in all cases. Epidemiology The estimated incidence is at ~1:100,000 live births. Pathology Genetics As with all hypophosphatasia cases, this is due to a mutation in chromosome 1q3...

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...

Peritoneal inclusion cyst

Peritoneal inclusion cysts, also known as peritoneal pseudocysts, are a type of cyst-like structure that appears in relation to the peritoneal surfaces and results from a non-neoplastic reactive mesothelial proliferation. Terminology The nomenclature for this condition can be confusing due to ...

Periurethral cystic lesions

There are several periurethral cystic lesions. These include: female genitourinary tract: vaginal cysts Mullerian cyst Gartner duct cyst epidermal inclusion cyst of the vagina Skene duct cyst Bartholin gland cyst endometrial cyst of perineal-vulval-vaginal region male genitourinary trac...

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