Uterus


This is a gallery of ultrasound images of the uterus.

 

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OVARY 

UTERUS-2 (april 2007)

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A case of rupture of the uterus:

 This young lady had a spontaneous vaginal delivery 2 weeks prior to the ultrasound scan. She presented with severe lower abdominal pain. Ultrasound scan pictures show a rupture of the anterior wall of the lower uterine segment of the uterus. The ultrasound scan images also show a large hematoma of almost 5 cms. between the bladder and the uterus. This communicates freely with the uterine cavity which also seems to be filled with fluid. The first 4 images below show the hematoma clearly. The last ultrasound image shows the follow up scan done after a week. The hematoma has reduced in size.

Follow up image- 7days later

Images courtesy of Dr. Durr-e-Sabih, Pakistan.

 

 

A CASE OF LARGE NABOTHIAN CYSTS OF CERVIX:

      This 47 year old female patient complained of menstrual irregularities

 and discomfort in lower abdomen.

 Transabdominal Ultrasound scan shows a clearly defined cystic

 lesions in the cervix of the uterus.

Transvaginal scan shows 2 lesions of 16 and 21 mm. close to

the endocervical canal. Both cysts show absence of septae and

clear fluid contents.

Diagnosis: Nabothian cysts of the cervix.

The cysts in this patient are rather large. However, Nabothian cysts

have no clinical significance. They are distended endocervical glands

caused by obstruction of the outlet of the glands.

As in this patient, they are found in pre-menopausal women.

 

 

REFERENCE:

 1) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2807713&dopt=Citation

2)http://radiology.rsnajnls.org/cgi/content/abstract/157/1/175

3) Nonovarian Gynecologic Cysts: MR Imaging Findings


 

 A RARE CASE OF LIPOLEIOMYOMA OF THE

UTERUS:

               This is a rare variant of a fibroid containing adipose tissue in variable amount.

It is usually seen in post-menopausal women. Here, (on Transvaginal ultrasound scan) this 30 yr. old female shows typical features of  1) echogenic rounded mass lesion WITHIN the uterine myometrium, just above the cervix. The mass, here is 2.2 cms. in size. The normal right ovary, lying adjacent to the mass is seen.

2) accoustic enhancement posteriorly.

3) hypoechoic rim is seen surrounding the mass.

CT scan would show a typical hypodense (fat density) mass in the uterus.

In Journal of HK college of Radiology 2003, HHL CHAN says only 8 cases have been reported in Radiology literature.

 LINKS AND REFERENCE:

1) http://bjr.birjournals.org/cgi/content/abstract/70/838/1068

2) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11874076&dopt=Citation