Gynecologic Ultrasound: A Problem-Based Approach E-Book

Benacerraf, Goldstein, Groszmann: Gynecologic Ultrasound: A Problem-Based Approach

Table of Contents

Section 1 Entities

A.

(A1) Adenomyosis

(A2) Adhesions - peritoneal inclusion cyst - loculated fluid

(A3) Appendicix mucocele

(A4) Atrophic endometrium

B.

(B1) Bladder masses/hematuria

(B2) Borderline ovarian ca

(B3) Bowel related masses

(B4) Brenner tumor

C.

(C1) Cesarean Scar defect (uterine dehiscence)

(C2) Cervical mass

(C3) Corpus, Luteum

(C4) Cyst, Clear

(C5) Cystadenofibroma

D.

(D1) Dermoid(D2) Dysgeminoma

E.

(E1) Ectopic pregnancy

(E2) Endometrial carcinoma

(E3) Endometrial hyperplasia(E4) Endometriosis/Endometrioma(E5) Epidermoid cyst

F.

(F1) Fibroids - include submucosal, degen and broad ligament

(F2) Fibroma (ovarian), thocoma, fibrothecoma

G.

(G1) Granulosa cell tumor

H.

(H1) Hematometra & hematoculpus (H2) Hydrosalpinx

I.(I 1) Intravascular leiomyomatosis

(I 2) IUD (abnormal location)

L.

(L-1) Lymph nodes, enlarged

M.

(M 1) Metastatic carcinoma(M 2) Mucinous cystadenoma(M 3) Mullerian duct abnormality

O.

(O1) Ovarian calcifications

(O2) Ovarian cancer (epithelial)(O3) Ovarian / tubal torsion, adema (massive)

(O4) Ovarian vein thrombosis

P.

(P1) Paraovarian or paratubal cyst

P2 Pelvic congestionP3 Pelvic kidney

P4) Polycystic Ovarian Syndrome

(P5) Polyps (uterine, cervical)

(P6) Premature ovarian failure

R.

(R1) Retained products of conception

S.

(S1) Scarred uterus and Asherman's (Uterine synechiae)

(S2) Serous cystadenoma

(S3) Shwannoma

(S4) Struma ovarii

T.

(T1) T- shape uterus

(T2) Tarlov cyst

(T3) Theca luteum cyst

(T4) Tubal malignancy(T5) Tuboovarian abcess /PID/ Salpingitis

U.

(U1) Ureteral stone

(U2) Uterine sarcoma

V.

(V1) Vaginal masses

List of Differential diagnoses:Pelvic pain: Acute: Hemorrhagic cyst Ovarian/adnexal torsion Degenerating fibroid Ectopic pregnancy Appendicitis or mucocele Tuboovarian abcess/DID Ureteral stone

Ovarian vein thrombosis

Ovarian torsion

Chronic Adenomyosis Fibroids Adhesions - peritoneal inclusion cyst - loculated fluid Hydrosalpinx Salpingitis Endometriosis/Endometrioma IUD (Abnormal location)

Inflammatory bowel disease Cystitis

Deep Penetrating endometriosis

Pelvic congestion

Pseudomyxoma Peritonei

Pelvis Mass:Uterine Fibroid Degenerating fibroid Adenomyosis Nabothian cyst Hematometra/Hematoculpus SarcomaVaginal mass Gartner's duct cyst Sarcoma Lymphoma FibroidCervical mass Cervical cancer Cervical polyp Cervical fibroid Cervical lymphoma

Complex cystic mass Appendiceal mucocele

Corpus Luteum Hemorrhagic cyst Endometrioma Decidualized endometroima in pregnancy

Epidermoid cyst

Serous cystadenoma Mucinous cystadenoma Theca luteum cyst Tuboovarian abcess Ectopic pregnancy Hydrosalpinx Cystadenofibroma

Ovarian cancer (borberline or invasive)

Tubal malignancy

Solid mass: Fibroma Dermoid

Dysgerminoma Ovarian calcifications Hemorragic cyst (acute) Endometriosis implants Granulosa cell tumor Theca cell tumor Brenner tumor Appendiceal mucocele Bowel related masses Massive ovarian edema Ovarian malignancy (borberline or invasive) Tubal malignancy Enlarged lymph node (lymphoma) Metastatic carcinoma Pelvic kidney

Schwannoma Epidermoid cyst

Intravascular leiomyomatosis

Tarlov cysts (bilateral)

Clear cyst Follicle/unilocular physiologic cyst

Paraoovarian cyst Cystadenoma

Adnexal mass with normal ovary documented Appendiceal mucocele

Ectopic pregnancy Paratubal cyst Peritoneal inclusion cyst Hydrosalpinx Broad ligament fibroid Tuboovarian abcess Tubal malignancy

Appendix or bowel related mass

Intravascular leiomyomatosis

Pelvic kidney

Abnormal bleeding:Premenopausal Endometrial hyperplasia Polyps

Retained products of conception C section scar defect (with collected blood)

IUD (abnormal location) Functional ovarian cyst Adenomyosis Endometrial carcinoma Hematuria - bladder massesPostmenopausal bleeding "One more cycle" Endometrial hyperplasia Polyps Atrophic endometrium Endometrial carcinoma Hematuria - bladder masses

Amenorrhea Pregnancy PCOS Excessive exercise/anorexia etc.. Perimenopause Ashermann;'s

Infertility Premature ovarian failure PCOS T shaped uterus,

Ashermann's

Mullerian duct abnormalities Uterine synechiae Hydrosalpinx or salingitis Pelvic inflammatory disease Tubal occlusion Submucous fibroid Lack of follicular development Lack of normal maturation of the endometrium during the cycle Recurrent pregnancy loss - possible ultrasound findings Mullerian duct abn.- septate or subseptate , unicornuate, bicornuate T shaped uterus Ashermann's

Section 2:

NORMAL PELVIC ULTRASOUND AND COMMON NORMAL VARIANTS