scholarly journals Sonographic View of Pelvic Congestion Syndrome

2017 ◽  
Vol 33 (3) ◽  
pp. 193-198
Author(s):  
Marie Smith

A particular pelvic pathology that may not be recognized, and is easily missed, is pelvic congestion syndrome. There is limited understanding about this condition, and many sonographers may have limited to no knowledge of this disorder. This article is to bring an awareness of this condition and the sonographic images necessary to obtain, so that further testing and possible treatment could relieve the patient of symptoms. Since a pelvic sonogram is generally the first modality of choice when an assessment of the pelvic organs is ordered, detailed imaging of all the pelvic region should be evaluated, including the vessels within this area. When evaluating a patient with chronic pelvic pain and visualizing any dilated vessels during a transabdominal or transvaginal sonogram, further imaging and documentation are essential. With this additional information, further testing with computed tomography or magnetic resonance imaging, along with a venogram, may result in a definitive diagnosis of pelvic congestion syndrome to facilitate treatment.

Author(s):  
U.C.M. Kafka ◽  
A. Carstens ◽  
G. Steenkamp ◽  
H. Symington

The purpose of this study was to determine the diagnostic value of magnetic resonance imaging (MRI) and computed tomography (CT) in oral masses of dogs. Nineteen dogs underwent clinical, MR and CT examinations. Eleven malignant and ten non-malignant masses were evaluated. Osteosarcoma was the most commonly found malignant oral mass and gingival hyperplasia was the most commonly found benign mass. The results showed that MRI provided more accurate information regarding the size of the masses and invasion of adjacent structures although MRI and CT show similar accuracy in assessment of bone invasion. Calcification and cortical bone erosion was better seen on CT images. Whereas contrast-MRI provided useful additional information, contrast-CT had no added benefit. In general, oral masses located in the caudal mandible, oropharynx and maxilla are better evaluated using MRI, once the histological type has been verified.


Author(s):  
Christoph I. Lee

This chapter, found in the headache section of the book, provides a succinct synopsis of a key study examining the imaging selection and endovascular treatment for ischemic stroke. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers found that a favorable penumbral pattern by computed tomography or magnetic resonance imaging does not help identify patients who would benefit from endovascular therapy for acute stroke, and that embolectomy is not superior to standard care with regard to clinical and imaging outcomes for acute ischemic stroke. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


2019 ◽  
Vol 3 (3) ◽  
pp. 237-239
Author(s):  
Adrian Romero ◽  
Janae Hohbein ◽  
Shana Ross

Pelvic congestion syndrome (PCS) is an uncommon illness that is typically diagnosed after chronic pelvic pain. We present a case of superficial thrombosis of pelvic veins from PCS that presented to the emergency department (ED) as a previous diagnosis of pelvic abscess with cellulitis. PCS was diagnosed in the ED by computed tomography after an abnormal point-of-care ultrasound. Here we describe this unusual presentation and our approach to the diagnosis.


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Deniz Alis ◽  
Cesur Samanci ◽  
Yesim Namdar ◽  
Fethi Emre Ustabasioglu ◽  
Elif Yamac ◽  
...  

Appendicovesical fistula (AVF) is an uncommon type of enterovesical fistula and a very rare complication of acute appendicitis. Herein, we report a case of 39-year-old male patient who presented with persistent urinary tract infection, recurrent abdominal pain, and pneumaturia. Imaging techniques including ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI) were performed to identify the abnormality. However, definitive diagnosis of AVF was made by cystoscopy.


Author(s):  
Rissa U. Setiani ◽  
Edwin A. D. Batubara ◽  
Suko Adiarto ◽  
Taofan Siddiq ◽  
Suci Indriani ◽  
...  

AbstractPelvic congestion syndrome (PCS) is a clinical syndrome supported by specific findings, such as ovarian vein's dilatation, that cause pelvic vein congestion. Although many theories are explaining the pathophysiologies of this condition, the underlying cause remains unknown. The clinical manifestations of PCS are various including chronic pelvic pain (CPP), voiding disturbances, or ureteral obstruction. Imaging modality, such as ultrasonography, computed tomography (CT scan), magnetic resonance imaging (MRI), and venography, are needed to confirm and exclude the differential diagnosis. Currently, American venous forum guidelines recommended endovascular therapy which is percutaneous embolization as the first option therapy of PCS. Here, we reported a 35-year-old woman with PCS who underwent successful percutaneous embolization therapy.


Author(s):  
Abdolrahman Ashour ◽  
Marwan Albeshri ◽  
Hani Marzouki ◽  
Shadi Al-Khayyat

Kikuchi-Fujimoto disease (KFD) is a very rare, self-limited and benign inflammatory disorder. It was first reported in Japan in 1972. Diagnosis of Kikuchi disease is confirmed by histopathological investigation of lymph node (LN) biopsy under ultrasound guidance. Computed tomography (CT) and magnetic resonance imaging (MRI) help in diagnosis of Kikuchi cervical lymphadenopathy but don’t provide a definitive diagnosis. We describe a case of KFD affecting the cervical lymph nodes of a 24-year old Saudi female.


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