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Sonography of diseases of uterus:

Contents of this page:

1) Dystrophic calcification of uterus

2) Calcified_fibroid

    Ring calcification of uterine fibroid

3) Ultrasound image of Pedunculated fibroid

4) Fibroid_in_pregnancy

5) Case-2: Early pregnancy with fundic fibroid of uterus

6) Case-3: Pregnancy with cervical fibroid

7) Types_of_fibroid

a) Submucous_fibroid

b) Case-2:_Submucous_fibroid:_(3-D_imaging)

c) Case-3:_Submucous_fibroid:_

d) Subserosal fibroid

e) Isthmic fibroid

f) Broad ligament fibroid

g) Broad ligament fibroid with calcification

h) Degenerative changes in fibroid

8) Pyometra

9) Infections of the uterus

10) Migrated IUCD

11) Congenital anomalies of uterus

a) Uterus didelphys or Didelphic uterus

b) Hypoplastic uterus

12) Foreign body in cervix of uterus

13) Uterine arterio-venous malformations

14) Adenomyosis of uterus

   b) Case-2: Adenomyosis

   c) Case-3: Adenomyosis

15) Ashermans syndrome: Uterine synechiae

16) Pedunculated polyp of the cervix

17) Pedunculated fibroid of the cervix

18) Nabothian cysts of the cervix

19) Lipoleiomyoma of uterus

20) Cystic hyperplasia of endometrium

1) Dystrophic calcification of uterus:

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These sonographic images of the uterus reveal a dense calcification involving the inner myometrium and endometrium. This 23 yr. old female had a history of curettage. The diagnosis- dystrophic calcification of the uterus. The cause is usually instrumentation or procedures like curettage. These have little clinical significance. However, bony remnants of any previously aborted fetus must be excluded (see reference below). Images courtesy of Dr. Jaydeep Gandhi, Mumbai, India.

 

Reference:

cgi-bin/abstract/104555335/ABSTRACT (abstract)

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2) Calcified fibroid:

 

Sonography of fibroid with calcification:

     

   

This middle aged female patient complained of pain in the suprapubic region. Ultrasound imaging revealed a small uterus with a calcific well-defined, intramural mass in the lower part of the body of uterus. There is clear acoustic shadowing posterior to the calcific lesion. These findings suggest a calcific fibroid of the uterus. Fibroids are often known to undergo calcificaiton in elderly females.

 

Reference: radio/topic777.htm (free article)

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Case-2: Calcification in fibroid: (C- shaped calcific fibroid):

This intramural fibroid shows abundant calcification along the rim in a C-shape. Color Doppler image shows no significant vascular abnormality, except for some degree of "twinkling artefacts". Calcification of fibroids may occur as a peripheral ring or as popcorn type. Ultrasound image above is courtesy of Dr. Vikas Shukla, MD, India.

Case-3: Ring calcification of uterine fibroid:

    

Fibroids can also show a complete ring of calcification, as in the ultrasound images shown in case-3 above. The fibroid shows a dense peripheral calcific rim, within the intramural mass that occupies the fundus and body of the uterus. The ultrasound image on the right is a 3D rendering of the calcific ring in the fibroid. The striking resemblance to a fetal head is amazing. Images are courtesy of Dr. Ravi Kadasne, MD, UAE.

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3) Ultrasound image of Pedunculated fibroid:

Sonography of the uterus was done in this patient. Ultrasound image reveals a moderately large fibroid (7 x 5.3 cms.) connected to the fundus of the uterus by a thin stalk (peduncle). Ultrasound image courtesy of    Dr. Ravi Kadasne, UAE. Machine used here is the Philips iu 22.

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4) Fibroid in pregnancy:

Case-1: Fibroid in body of uterus:

    

These ultrasound and color Doppler images show a gravid uterus (with 3rd trimester fetus), and a solid, inhomogenous, poorly vascular mass in the anterior wall of the uterus, bulging into the uterine cavity. Note the hypoechoic areas within the mass suggesting possible degenerative changes. These images are diagnostic of a pregnancy with fibroid. Ultrasound images courtesy of Dr. Ravi Kadasne, UAE; he used the Philips iu 22 machine for these stunning pictures.

Case-2: Early pregnancy with fundic fibroid of uterus:

    

The 3 ultrasound pictures above show an early gestation sac (with a viable embryo), and a large fibroid in the fundus of the uterus. The mass (FIBR= fibroid), shows absence of degenerative changes or calcification despite its large size (almost      8 x 9 cms.). Power Doppler image of the uterus (image on top right) shows rim of vessels around the fibroid. Such early pregnancies with large fibroids have a high risk of abortions.

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Case-3: Pregnancy with cervical fibroid:

    

   

This was a 19 week old pregnancy with the fetus seen to the left of the images. The ultrasound images show a large fibroid involving the lower uterine segment and cervix of the uterus. The mass measures 6 x 7 cms. approximately. Color Doppler image shows poor vascularity of the tumor. (FIBR= fibroid; fet= fetus; BL= bladder).

For more/ ultrasound video clips of this case see:

 2010/05/fibroid-of-cervix-in-19-week-pregnancy.html

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5) Types of fibroid:

A) Submucous fibroid:

     

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