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Gynecologic Ultrasound, An Issue of Ultrasound Clinics - E-Book

Gynecologic Ultrasound, An Issue of Ultrasound Clinics - E-Book

Sandra J. Allison | Darcy J. Wolfman

(2010)

Additional Information

Abstract

Gynecology provides many opportunities to utilize ultrasound in clinical practice. Pelvic pain, uterine bleeding, and adnexal masses are reviewed in this issue. Additionally the use of saline-infused sonohysterography, 3D ultrasound, and the pitfalls of transvaginal imaging are covered. Lastly the application of ultrasound in the follow-up care for gynecologic cancer is reviewed.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Copyright Page ix
Contributors iii
Contents v
Ultrasound Clinics viii
Preface xi
Chapter 1. Avoiding Pitfalls in Transvaginal Sonography of the Female Pelvis 177
KNOW THE OB-GYN HISTORY 177
PRESCAN TRANSABDOMINALLY 178
CHECK BEAM ORIENTATION 180
UNDERSTAND IMAGE PROJECTION 180
DOCUMENT THE URINARY BLADDER 181
DOCUMENT THE CERVIX 181
DETERMINE UTERINE POSITION 182
CHECK TECHNIQUE 184
BLIND SPOTS IN THE PELVIS 186
MANEUVER THE PROBE 187
DOPPLER EVALUATION 189
THINK BEYOND GYNECOLOGIC CONDITIONS FOR PELVIC PAIN 192
ACKNOWLEDGMENTS 192
REFERENCES 193
Chapter 2. Pearls and Pitfalls in Sonohysterography 195
PREPROCEDURAL CONSIDERATIONS 195
TECHNICAL ISSUES 196
DIAGNOSTIC PROBLEMS AND LIMITATIONS 201
SUMMARY 205
REFERENCES 206
Chapter 3. Ultrasound Evaluation of Gynecologic Causes of Pelvic Pain 209
ACUTE PELVIC PAIN 209
ACUTE PELVIC PAIN IN NONPREGNANT PATIENTS 210
ACUTE PELVIC PAIN ASSOCIATED WITH PREGNANCY 217
PELVIC PAIN IN THE POSTPARTUM PERIOD 224
CHRONIC PELVIC PAIN 225
SUMMARY 228
ACKNOWLEDGMENTS 228
REFERENCES 228
Chapter 4. Ultrasound for Pelvic Pain I I : Nongynecologic Causes 233
APPENDICITIS 233
DIVERTICULITIS 234
URETERAL CALCULUS 235
MESENTERIC ADENITIS 237
EPIPLOIC APPENDAGITIS 237
COLITIS 238
BOWEL OBSTRUCTION 239
METASTATIC DISEASE 239
INGUINAL HERNIAS 240
HYDROCELE 240
VARICOCELE 240
DUPLICATION CYSTS 241
SUMMARY 242
REFERENCES 242
Chapter 5. Dysfunctional Uterine Bleeding: Diagnostic Approach and Therapeutic Options 245
TRANSVAGINAL SONOGRAPHY 246
FOCAL PROCESSES 248
SONOHYSTEROGRAPHY 249
DIFFUSE ENDOMETRIAL THICKENING 250
EFFECTS OF TAMOXIFEN ON THE ENDOMETRIUM 252
DIFFICULTIES IN ENDOMETRIAL STRIPE MEASUREMENT 253
SUMMARY 254
REFERENCES 254
Chapter 6. The Ultrasound Workup of Adnexal Masses 257
ANATOMY AND PHYSIOLOGY 257
CLINICAL AND MORPHOLOGIC ANALYSIS OF ADNEXAL MASSES 258
SIMPLE CYSTIC MASSES 259
COMPLEX MASSES 264
SOLID MASSES 272
SUMMARY 274
REFERENCES 274
Chapter 7. Sonographic Evaluation of Patients Treated with Uterine Artery Embolization 277
PRE-EMBOLIZATION EVALUATION 278
POSTEMBOLIZATION IMAGING 282
COMPLICATIONS 282
SUMMARY 286
REFERENCES 286
Chapter 8. Applications of Ultrasound in Gynecologic Oncology 289
DIAGNOSIS AND STAGING OF GYNECOLOGIC MALIGNANCY 289
DETECTION OF RECURRENT OR METASTATIC DISEASE 293
DIAGNOSIS OF POSTTREATMENT COMPLICATIONS 294
SUMMARY 295
REFERENCES 295
Chapter 9. Three-Dimensional Gynecologic Ultrasound 299
OVERVIEW 299
TECHNICAL ASPECTS 299
CLINICAL APPLICATIONS 301
ADNEXAL MASSES 304
POLYCYSTIC OVARIAN SYNDROME 305
EVALUATION OF TUBAL PATENCY 306
LIMITATIONS OF 3D ULTRASOUND 307
FUTURE CONSIDERATIONS 310
REFERENCES 310
Chapter 10. Pelvic Floor Imaging 313
PELVIC FLOOR ANATOMY AND FUNCTION 313
CONVENTIONAL IMAGING OF THE PELVIC FLOOR 314
ULTRASOUND IMAGING 315
ULTRASOUND IN THE EVALUATION AND TREATMENT OF URINARY INCONTINENCE 323
SUMMARY 327
REFERENCES 328
Index 331