Case 10.18

2014 ◽  
pp. 512-513
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Vaginal Bleeding ◽  
Lower Uterine Segment ◽  
Weighted Image ◽  
Bladder Base ◽  
Endometrial Cavity ◽  
Multiple Round ◽  
Uterine Fundus ◽  
Uterine Body ◽  
T2 Weighted Images

72-year-old woman with vaginal bleeding Sagittal fat-suppressed FSE T2-weighted images (Figure 10.18.1) demonstrate an ill-defined mass in the endometrial cavity that extends into the myometrium of the uterine fundus superiorly and protrudes into the lower uterine segment. There are multiple round, T2-hypointense fibroids within the uterine body and fundus. Notice the bulky, heterogeneously enhancing mass centered in the vagina and extending anteriorly to encase the urethra and bladder base and abutting the rectum posteriorly. Axial FSE T2-weighted image through the inferior pelvis (...

Case 8.2

2014 ◽  
pp. 375-376
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Voiding Cystourethrogram ◽  
Weighted Image ◽  
Bladder Base ◽  
Similar Appearance ◽  
T2 Weighted Images

31-year-old woman with stress urinary incontinence Axial fat-suppressed FSE T2-weighted images (Figure 8.2.1) demonstrate a small round structure anterior to the urethra emerging from the bladder base. A sagittal FSE T2-weighted image (Figure 8.2.2) shows 2 urethras extending from the base of the bladder, and a similar appearance is shown on an image from a voiding cystourethrogram (...

scholarly journals Postpartum Prolapsed Leiomyoma with Uterine Inversion Managed by Vaginal Hysterectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Kelly L. Pieh-Holder ◽  
Heidi Bell ◽  
Tana Hall ◽  
James E. DeVente
Keyword(s):  
Vaginal Hysterectomy ◽  
Vaginal Bleeding ◽  
Reproductive Function ◽  
Management Option ◽  
Spontaneous Vaginal Delivery ◽  
Uterine Inversion ◽  
Endometrial Cavity ◽  
Life Threatening ◽  
Obstetrical Emergency ◽  
Uterine Fundus

Background. Uterine inversion is a rare, but life threatening, obstetrical emergency which occurs when the uterine fundus collapses into the endometrial cavity. Various conservative and surgical therapies have been outlined in the literature for the management of uterine inversions.Case. We present a case of a chronic, recurrent uterine inversion, which was diagnosed following spontaneous vaginal delivery and recurred seven weeks later. The uterine inversion was likely due to a leiomyoma. This late-presenting, chronic, recurring uterine inversion was treated with a vaginal hysterectomy.Conclusion. Uterine inversions can occur in both acute and chronic phases. Persistent vaginal bleeding with the appearance of a prolapsing fibroid should prompt further investigation for uterine inversion and may require surgical therapy. A vaginal hysterectomy may be an appropriate management option in select populations and may be considered in women who do not desire to maintain reproductive function.

scholarly journals Uterine necrosis following B Lynch suture: a rare complication

2018 ◽  
Vol 7 (2) ◽  
pp. 745
Author(s):  
Susheela Chaudhary ◽  
Parul Singh ◽  
Meenakshi B. ◽  
Anjali Gupta ◽  
Monika Ramola
Keyword(s):  
Postpartum Haemorrhage ◽  
Rare Complication ◽  
Breech Presentation ◽  
Uterine Wall ◽  
Artery Ligation ◽  
Asherman’S Syndrome ◽  
Uterine Artery Ligation ◽  
Endometrial Cavity ◽  
Variable Extent ◽  
Uterine Fundus

The B-Lynch uterine suture brace is a relatively new technique used for treatment of postpartum haemorrhage. These uterine compression sutures have achieved hemostasis while preserving fertility in many women and thus their efficacy and safety have been time tested. Very few complications have been reported following B Lynch suture. These include Asherman’s syndrome, hematometra, pyometra, localized areas of uterine necrosis and full-thickness defects in the lower uterine segment or uterine fundus and erosion of uterine wall. Herewith, reporting a case of 23-year-old woman who underwent cesarean section for breech presentation. She had atonic PPH for which uterine artery ligation was done along with B-lynch suture. She developed uterine necrosis for which hysterectomy was done. Microsections showed that endometrial cavity was filled with gangrenous slough extending to variable extent in myometrium and cervix.

Case 12.7

2014 ◽  
pp. 577-578
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Penile Prosthesis ◽  
Penile Shaft ◽  
Weighted Image ◽  
The Right ◽  
T2 Weighted Images

74-year-old man with a penile prosthesis and a new enlargement and discomfort of the right penile shaft Sagittal fat-suppressed FSE T2-weighted image (Figure 12.7.1) through the right corporus cavernosum demonstrates fluid surrounding the cylinder of the penile prosthesis. Note also the focal angulation at the base of the cylinder with discontinuity of the prosthesis components. Sagittal oblique postinflation FSE T2-weighted images (...

Case 11.10

2014 ◽  
pp. 546-546
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Physical Examination ◽  
Cystic Lesion ◽  
Pelvic Mass ◽  
Asymptomatic Woman ◽  
Weighted Image ◽  
Routine Physical Examination ◽  
T2 Weighted Images

57-year-old asymptomatic woman with a pelvic mass palpated during routine physical examination Axial fat-suppressed FSE T2-weighted images (Figure 11.10.1) reveal a large cystic lesion in the pelvis, with a partial septation anteriorly. Coronal FSE T2-weighted image (Figure 11.10.2) shows similar findings. An axial FSE T1-weighted image (...

Case 10.10

2014 ◽  
pp. 495-496
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Field Of View ◽  
Large Field ◽  
Uterine Anomaly ◽  
Endometrial Cavity ◽  
T2 Weighted Images

30-year-old woman with a possible uterine anomaly on pelvic US Axial (Figure 10.10.1) and coronal oblique (Figure 10.10.2) fat-suppressed FSE T2-weighted images reveal 2 uterine horns with a moderate uterine cleft and a septum extending throughout the endometrial cavity and cervix. A coronal large field-of-view SSFSE image (...

Case 5.5

2014 ◽  
pp. 252-252
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Liver Enzymes ◽  
Equilibrium Phase ◽  
Normal Spleen ◽  
Elevated Liver Enzymes ◽  
Multiple Round ◽  
T2 Weighted Images

42-year-old man with abdominal pain and elevated liver enzymes Axial fat-suppressed FSE T2-weighted images (Figure 5.5.1) show multiple round splenic lesions that are predominantly hypointense compared to normal spleen, with small hyperintense centers. On equilibrium phase postgadolinium 3D SPGR images (Figure ...

scholarly journals Cesarean Scar Ectopic Pregnancy

2021 ◽  
Vol 11 (5) ◽  
pp. 358-361
Author(s):  
Sunil V. Jagtap ◽  
Nitin Kshirsagar ◽  
Ramnik Singh
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Vaginal Bleeding ◽  
Hypovolemic Shock ◽  
Lower Uterine Segment ◽  
Caesarean Scar ◽  
Anterolateral Wall ◽  
History Of ◽  
Gestational Sac

Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathology diagnosed as Caesarean scar ectopic pregnancy with area of rupture in anterolateral wall of lower uterine segment and upper cervix. The endometrium was unremarkable. We are presenting this case for its rarity, clinical radiological and histopathological findings. Key words: Scar ectopic pregnancy, Uterine rupture, Gestation, Caesarean section.

Case 14.12

2014 ◽  
pp. 697-698
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Skeletal Muscle ◽  
Pelvic Mass ◽  
Lower Abdomen ◽  
Weighted Image ◽  
T2 Weighted Images

52-year-old woman with an enlarging mass in her lower abdomen Axial FSE T1-weighted image (Figure 14.12.1) and fat-suppressed T2-weighted images (Figure 14.12.2) reveal a large pelvic mass that is mildly hypointense relative to skeletal muscle on the T1-weighted image and heterogeneously hyperintense on the T2-weighted images with a region of focal scarring anteriorly. Axial postgadolinium 2D SPGR images (...

Case 10.21

2014 ◽  
pp. 518-519
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Physical Examination ◽  
Abdominal Mass ◽  
Gadolinium Administration ◽  
Large Complex ◽  
Complex Mass ◽  
Heterogeneous Enhancement ◽  
Uterine Fundus ◽  
T2 Weighted Images

48-year-old woman with an abdominal mass noted on physical examination Coronal oblique FSE T2-weighted images (Figure 10.21.1), axial fat-suppressed SSFP images (Figure 10.21.2), and postgadolinium sagittal 3D SPGR images (Figure 10.21.3) demonstrate a large, complex mass arising from the uterine fundus. The mass has both cystic and solid components and shows heterogeneous enhancement after gadolinium administration....

Sign in / Sign up

Export Citation Format

Share Document