Articles
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620 results found
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
Cesarean section
Cesarean section (also known as C-section, CS and C/S) is the most frequently done major abdominal surgery in females, performed to deliver a baby as an alternative to normal vaginal delivery 1.
Surgical technique
Many forms of cesarean section have been described, but the most popular variat...
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
Abdominal distension (mnemonic)
A mnemonic for causes of abdominal distension (6 Fs) is:
F: fat
F: fluid
F: flatus
F: feces
F: fetus
F: fulminant mass
Article
Placental site trophoblastic tumor
Placental site trophoblastic tumors (PSTT) are rare and one of the least common (~0.2% 7) forms of gestational trophoblastic disease.
Epidemiology
Placental site trophoblastic tumors typically occur in women of reproductive age with an average age of ~30 years. They may occur after a normal pr...
Article
Carcinosarcoma of the uterus
Carcinosarcomas of the uterus, previously known as malignant mixed Müllerian tumors (MMMT) of the uterus, are the most common (up to 50%) type of uterine sarcoma. They are thought to account for 2-8% of all malignant uterine cancers 1,2. The uterus is the most common site for carcinosarcomas of ...
Article
Gynecological ultrasound set-pieces
The clinical history will nearly always lead to a short differential or the answer. Show off to the examiner that you have a structured approach to reporting and managing the patient.
Structured approach
uterus: size, version and shape (normal or variant which you should elaborate on and say w...
Article
Tuberculous pelvic inflammatory disease
Tuberculous pelvic inflammatory disease refers to pelvic inflammatory disease due to Mycobacterium tuberculosis.
Epidemiology
Genital tract involvement may be present in ~1.5% of cases of those affected with tuberculosis 4.
Pathology
Infection almost always results from spread from an extrag...
Article
Tubal ring sign
The tubal ring sign, also referred to as a bagel sign or blob sign, is one of the ultrasound signs of a tubal ectopic pregnancy. It comprises an echogenic ring that surrounds an unruptured ectopic pregnancy. It is said to have a 95% positive predictive value (PPV) for ectopic pregnancy.
Differe...
Article
Endometrioid carcinoma of the ovary
Endometrioid carcinomas of the ovary are a subtype of epithelial ovarian tumors. The vast majority are malignant and invasive. On imaging, they are usually characterized as complex, non-specific solid-cystic masses, and are associated with endometriosis.
Epidemiology
Endometrioid carcinomas a...
Article
Clear cell ovarian carcinoma
Clear cell carcinoma of the ovary is a subtype of malignant ovarian epithelial tumor.
Epidemiology
They represent ~2-5% of all ovarian carcinomas and ~4-12% of epithelial ovarian neoplasms. The mean age at presentation is ~10 years younger than for other ovarian epithelial tumors (peak ~55 yea...
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
Isthmic ectopic pregnancy
An isthmic ectopic pregnancy is a subtype of tubal ectopic pregnancy an accounts for ~12% of such cases. According to one study, the rate of tubal wall disruption was higher than with an ampullary ectopic pregnancy, suggesting that in an isthmic ectopic pregnancy, the trophoblast penetrates the ...
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
Corpus luteum
The corpus luteum (plural: corpora lutea) is a temporary endocrine structure involved in ovulation and early pregnancy.
During ovulation, the primary follicle forms the secondary follicle and subsequently the mature vesicular follicle.
At ovulation the follicle ruptures expelling the ovum into...
Article
Ovarian hyperstimulation syndrome
Ovarian hyperstimulation syndrome (OHSS) is a complication of controlled ovarian stimulation, which is an assisted reproduction technique used for in vitro fertilisation (IVF). Rarely, it may also occur spontaneously in pregnancy (see below). It consists of ovarian enlargement with an extravascu...
Article
Gestational trophoblastic disease
Gestational trophoblastic disease (GTD) results from the abnormal proliferation of trophoblastic tissue and encompasses a wide spectrum of diseases, including 14:
tumor-like lesions
exaggerated placental site reaction
placental site nodule and plaque
abnormal (non-molar) villous lesions
mol...
Article
Choriocarcinoma (staging)
The staging system for choriocarcinoma (usually refers to uterine choriocarcinoma) is the FIGO staging system and is as follows 1:
stage I: disease limited to the uterus
stage II: disease out of the uterus but limited to the female genital tract
stage III: metastasis in the lung with or with...
Article
VACTERL-H association
The VACTERL-H association is a rare non-random association which bears the features of the standard VACTERL association with added fetal hydrocephalus.
Unlike the standard VACTERL association which is sporadic, the VACTERL-H is hereditary with both X-linked 3 and autosomal recessive 2 inheritan...
Article
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...