Articles

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620 results found
Article

Deep endometriosis (transvaginal ultrasound)

Transvaginal ultrasound (TV) for deep endometriosis is a specialized ultrasound technique used for the detection of deep endometriosis (DE). It differs from a traditional pelvic ultrasound in that the scan is extended beyond the uterus and ovaries to assess the anterior and posterior pelvic comp...
Article

Whirlpool sign (ovarian torsion)

The whirlpool sign or whirl sign of ovarian torsion is characterized by the appearance of a twisted ovarian pedicle, which can be seen on ultrasound, CT, and MRI 1,2.  Terminology The term whirlpool sign is used in other contexts: see whirlpool sign (disambiguation). Radiographic features It...
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Whirlpool sign (mesentery)

The whirlpool sign of the mesentery, also known as the whirl sign, is seen when the bowel rotates around its mesentery leading to whirls of the mesenteric vessels.  Terminology The term whirlpool sign is used in other contexts: see whirlpool sign (disambiguation). Radiographic features It is...
Article

Abdominal pain in pregnancy protocol (MRI)

The abdominal pain in pregnancy MRI protocol encompasses a set of MRI sequences for assessment of causes of non-traumatic abdominal pain in pregnancy. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the abdomen in pregnancy. Protocol specifics will va...
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Acute non-traumatic abdominal pain in pregnancy

Acute non-traumatic abdominal pain in pregnancy requires a considered imaging approach due to the increased risks of fetal demise associated with undiagnosed diseases such as perforated acute appendicitis. Ultrasound is the first-line modality due to its wide availability and ability to diagnose...
Article

Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS US)

The Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS US) forms the ultrasound component of the Ovarian-Adnexal Reporting and Data System (O-RADS). This system aims to ensure that there are uniform unambiguous sonographic evaluations of ovarian or other adnexal lesions, accurately ass...
Article

Isolated cleft palate

An isolated cleft palate is a type of facial cleft. This is a much rarer occurrence than a cleft lip +/- palate and is thought to represent a different pathological entity. Epidemiology The estimated incidence is at ~1 per 2000-2500 pregnancies 4-5. There may be a slight female predilection 4....
Article

Mayer-Rokitansky-Küster-Hauser syndrome

Mayer-Rokitansky-Küster-Hauser syndrome (MRKH), also known as Müllerian aplasia, is a congenital anomaly characterized by vaginal and uterine aplasia or agenesis 9. It is usually also associated with a spectrum of other genitourinary tract abnormalities. MRKH syndrome belongs to class I Mulleria...
Article

Ureterovaginal fistula

Ureterovaginal fistulae refer to abnormal communications between the lumina of the ureter(s) and the vagina.  Clinical presentation Patients usually present with urinary incontinence through the vagina which may be accompanied by fever and chills 1. Symptoms usually begin within 2-4 weeks foll...
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

Cesarian scar endometriosis

Cesarian scar endometriosis can be located in the skin, subcutaneous tissue, rectus muscle/sheath, intraperitoneally, or in the uterine myometrium (within uterine scar). Epidemiology The reported incidence of abdominal scar endometriosis following cesarean section is 0.03-0.6% 6. Clinical pre...
Article

Unicornuate uterus

A unicornuate uterus or unicornis unicollis is a type of Müllerian duct anomaly (class II). It is also known as a banana-shaped uterus6,7, because of the shape the single horn assumes, and it usually drains into a single fallopian tube. Epidemiology This type can account for ~10% (range 6-13%)...
Article

Hand-foot-genital syndrome

Hand-foot-genital syndrome (previously known as hand-foot-uterus syndrome) refers to a rare hereditary disorder with abnormalities involving the hands, feet and uterus. Hand-foot-genital syndrome should not be confused with: hand-foot syndrome (sickle cell disease) hand-foot-and-mouth disease...
Article

Müllerian duct anomalies

Müllerian duct anomalies (MDAs) are congenital abnormalities that occur when the Müllerian ducts (paramesonephric ducts) do not develop correctly. This may be as a result of complete agenesis, defective vertical or lateral fusion, or resorption failure. Epidemiology MDAs are estimated to occur...
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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

Hydrocele of the canal of Nuck

Hydrocele of the canal of Nuck is a rare condition in female children caused by a failure of complete obliteration of the canal of Nuck 1. The canal of Nuck is an abnormal patent pouch of peritoneum extending anterior to the round ligament of the uterus into the labia majora 2. Incomplete oblite...
Article

Clitoris

The clitoris (plural: clitorides), the female homologue of the penis, and part of the female reproductive system, is situated at the anterior aspect of the labia minora. The clitoris, like the penis, is formed of a body and glans, formed respectively from the crura of the clitoris and the bulbs ...
Article

Rupture of fetal membranes

A rupture of membranes (ROM) or amniorrhexis is a term used during pregnancy to describe a rupture of the amniotic sac. This can occur as part of normal birth (or "spontaneously")  if it occurs at full term at the onset of, or during, labor. It is also  colloquially known as "breaking water." S...
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

Pessary

A pessary is a device inserted into the vagina which can either be mechanical or pharmaceutical. Terminology Strictly speaking, a pessary only refers to a medical device designed to be placed in the vagina to support the pelvic floor. Therefore, stating vaginal pessary is tautologous, although...

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