38,884 results match your criteria Ultrasonography Pelvic

Sonographic detection and localization of fistulas in fetuses with imperforate anus: Case reports.

J Obstet Gynaecol Res 2021 May 10. Epub 2021 May 10.

Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Imperforate anus (IA) requires urgent treatment after birth, which is dependent on the type of IA, and is also frequently associated with other congenital abnormalities. Most patients with IA have an accompanying fistula, whose location is strongly associated with the type of IA. The fistula location can be a key factor in defining appropriate treatment, especially in neonates presenting with severe associated abnormalities. Read More

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Robotically assisted removal of pelvic splenosis fifty-six years after splenectomy: A case report.

World J Clin Cases 2021 Apr;9(12):2868-2873

Department of Translational Research and New Technologies in Medicine and Surgery, Section of Urology, University of Pisa, Pisa 56126, Italy.

Background: 'Splenosis' is defined as the autotransplantation of splenic tissue following trauma or surgery, usually in the form of intraperitoneal nodules. The proliferation of imaging techniques has resulted in increased unexpected discoveries of splenosis nodules, and achieving a differential diagnosis can be challenging. Nuclear medicine studies have been playing an increasingly important role in this process, but the clinical significance of asymptomatic nodules remains uncertain. Read More

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Benign cystic mesothelioma: A case report on the presentation of an unusual tumor.

Int J Surg Case Rep 2021 Apr 30;82:105918. Epub 2021 Apr 30.

King Hamad University Hospital, Bahrain.

Introduction: Benign cystic mesothelioma of the peritoneum is a rare, benign abdominal tumor. It can present with vague signs and symptoms and is often found on imaging or incidentally during surgery.

Presentation Of Case: We report the case of a 30-year-old man presenting with acute abdominal pain that radiated to the right iliac fossa. Read More

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Artificial intelligence in ultrasound.

Eur J Radiol 2021 Apr 12;139:109717. Epub 2021 Apr 12.

Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, Tongji University School of Medicine, Tongji University Cancer Center, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clnical Research Center of Interventional Medicine, Shanghai, 200072, PR China. Electronic address:

Ultrasound (US), a flexible green imaging modality, is expanding globally as a first-line imaging technique in various clinical fields following with the continual emergence of advanced ultrasonic technologies and the well-established US-based digital health system. Actually, in US practice, qualified physicians should manually collect and visually evaluate images for the detection, identification and monitoring of diseases. The diagnostic performance is inevitably reduced due to the intrinsic property of high operator-dependence from US. Read More

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The role of imaging in pelvic exenteration for gynecological cancers.

Br J Radiol 2021 May 7:20201460. Epub 2021 May 7.

Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.

Pelvic exenteration (PE) is one of the most challenging gynecologic oncologic surgeries and is an overriding term for different procedures that entail radical en bloc resection of the female reproductive organs and removal of additional adjacent affected pelvic organs (bladder, rectum, anus, etc.) with concomitant surgical reconstruction to restore bodily functions. Multimodality cross-sectional imaging with MRI, PET/CT, and CT plays an integral part in treatment decision-making, not only for the appropriate patient selection but also for surveillance after surgery. Read More

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[Features of surgical treatment of urinary incontinence in women with urethral destruction].

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

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[Endovascular treatment of secondary varicose veins of the pelvis in men with chronic pelvic pain syndrome].

Urologiia 2021 May(2):46-50

MBUZ Clinical diagnostic center Zdorovie of the city of Rostov-on-Don, Rostov-on-Don, Russia.

Objective: to study the effectiveness of methods of endovascular treatment of May-Turner syndrome and nutcracker syndrome as a cause of varicose veins of the pelvis in men with chronic pelvic pain syndrome.

Materials And Methods: a comprehensive examination was carried out in 445 men with chronic pelvic pain syndrome. The patients age ranged from 20 to 68 years (mean age 39. Read More

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ACR Appropriateness Criteria® Postmenopausal Acute Pelvic Pain.

J Am Coll Radiol 2021 May;18(5S):S119-S125

Specialty Chair, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Acute pelvic pain is a common presenting complaint in both the emergency room and outpatient settings. Pelvic pain of gynecologic origin in postmenopausal women occurs less frequently than in premenopausal women; however, it has important differences in etiology. The most common causes of postmenopausal pelvic pain from gynecologic origin are ovarian cysts, uterine fibroids, pelvic inflammatory disease, and ovarian neoplasm. Read More

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Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy.

J Am Acad Orthop Surg Glob Res Rev 2021 May 4;5(5):e21.00011. Epub 2021 May 4.

From the Division of Orthopaedic Surgery, Western University, London, Ontario, Canada (Dr. Lovse); the Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada (Dr. Coupal); the Division of Orthopaedic Surgery, CHEO, Ottawa, Ontario, Canada (Dr. Tice, Dr. Carsen); and the Division of Infectious Diseases, CHEO, Ottawa, Ontario, Canada (Dr. Le Saux).

Osteomyelitis of the acetabulum is a rare condition accounting for only 12% of pelvic osteomyelitis cases. This report describes a previously healthy 10-year-old girl with subacute acetabular osteomyelitis and subsequent development of secondary septic arthritis of the hip. The patient presented with 3 weeks of groin pain, elevated erythrocyte sedimentation rate and C-reactive protein, synovial thickening of the hip on ultrasonography and diffuse signal uptake in the acetabulum on magnetic resonance imaging. Read More

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Risk of obstetric anal sphincter injury with fundal pressure in second stage of labor: Transperineal ultrasound study.

Neurourol Urodyn 2021 May 4. Epub 2021 May 4.

Department of Obstetrics and Gynecology, Medicalpark Göztepe Hospital, Istanbul, Turkey.

Aims: Clinical management of the second stage of labor and effectiveness of preventive measures for severe perineal tears are controversial. The aim of this study was to evaluate the effect of using uterine fundal pressure during the second stage of delivery on obstetric anal sphincter injury (OASI), among primiparous women using three-dimensional (3D) transperineal ultrasonography.

Methods: A total of 73 women who had their first vaginal birth were included in the study, the fundal pressure group included women where the fundal pressure maneuver was applied (n = 37); and the control group included women who delivered spontaneously without fundal pressure (n = 36). Read More

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Clinical characteristics of axial spondyloarthritis patients in China: results from ChinaSpA, the Chinese Spondyloarthritis Registry.

Clin Exp Rheumatol 2021 Apr 23. Epub 2021 Apr 23.

Department of Rheumatology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences; Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education; National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.

Objectives: The objective of this study is to describe the clinical features of patients with axial spondyloarthritis (axial SpA) in the ChinaSpA registry.

Methods: Patients with clinical diagnosis of ankylosing spondylitis (AS) or axial SpA were enrolled into the registry. Patients with a complete set of pelvis radiograph, pelvis MRI and HLA-B27 (Complete Set group, CS group) were further categorised based on classification criteria into AS, radiographic axial SpA (r-axSpA) and non-radiographic axial SpA (nr-axSpA). Read More

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The Establishment of New Thresholds for PLND-Validated Clinical Nomograms to Predict Non-Regional Lymph Node Metastases: Using Ga-PSMA PET/CT as References.

Front Oncol 2021 15;11:658669. Epub 2021 Apr 15.

Department of Urology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Purpose: PLND (pelvic lymph node dissection)-validated nomograms are widely accepted clinical tools to determine the necessity of PLND by predicting the metastasis of lymph nodes (LNMs) in pelvic region. However, these nomograms are in lacking of a threshold to predict the metastasis of extrareolar lymph nodes beyond pelvic region, which is not suitable for PLND. The aim of this study is to evaluate a threshold can be set for current clinical PLND-validated nomograms to predict extrareolar LN metastases beyond pelvic region in high-risk prostate cancer patients, by using Ga-PSMA PET/CT as a reference to determine LN metastases (LNMs). Read More

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Diagnosis and treatment of Herlyn-Werner-Wunderlich syndrome: a case report.

Prz Menopauzalny 2021 Apr 1;20(1):52-56. Epub 2021 Mar 1.

Department of Obstetrics and Gynaecology, Praski Hospital, Warsaw, Poland.

Introduction: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital anomaly characterized by uterus didelphys with blind hemivagina and ipsilateral renal agenesis. It is one of the rare anomalies of the genitourinary system and is usually identified in the first few years after menarche.

Case Report: An 18-year-old patient presented with painful menses for 1 year and was suspected for vaginal haematoma. Read More

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Relationship between iliopsoas muscle thickness and hip angle during squats in different pelvic positions.

J Phys Ther Sci 2021 Apr 6;33(4):351-355. Epub 2021 Apr 6.

Department of Rehabilitation, Ishikawa-ken Saisekai Kanazawa Hospital, Japan.

[Purpose] This study aimed to investigate the relationships among the changes in iliopsoas muscle thickness, hip angle, and lower limb joint moment during squatting in different pelvic positions to help in performing hip-dominant squatting exercises. [Participants and Methods] The participants were seven healthy adult males. The measurement task consisted of squatting with 60 degrees of knee flexion in three positions: the anterior, neutral, and posterior pelvic tilt positions. Read More

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Morphological variants to predict outcome of avascular necrosis in developmental dysplasia of the hip.

Bone Joint J 2021 May;103-B(5):999-1004

Department of Orthopaedic Surgery, Sophia's Children's Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.

Aims: The most important complication of treatment of developmental dysplasia of the hip (DDH) is avascular necrosis (AVN) of the femoral head, which can result in proximal femoral growth disturbances leading to pain, dysfunction, and eventually to early onset osteoarthritis. In this study, we aimed to identify morphological variants in hip joint development that are predictive of a poor outcome.

Methods: We retrospectively reviewed all patients who developed AVN after DDH treatment, either by closed and/or open reduction, at a single institution between 1984 and 2007 with a minimal follow-up of eight years. Read More

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Meta-analysis and systematic review to determine the optimal imaging modality for the detection of bladder deep endometriosis.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 22;261:124-133. Epub 2021 Apr 22.

Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Kingswood, NSW, 2750, Australia.

Objective: To review the diagnostic accuracy and determine the optimum imaging modality for the detection of bladder deep endometriosis (DE) in women with a clinical suspicion of endometriosis.

Methods: A systematic review of studies published from inception to May 2020 using Embase, Google Scholar, Medline, PubMed and Scopus. Prospective studies, which pre-operatively assessed any imaging modality for the presence of bladder DE, and correlated with the gold standard surgical data as a reference were included. Read More

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Magnetic resonance imaging as a predictor of surgical outcome in patients with local pelvic recurrence of colorectal cancer.

Eur J Surg Oncol 2021 Apr 21. Epub 2021 Apr 21.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Pelvic Cancer, GI Oncology and Colorectal Surgery Unit, Karolinska University Hospital, Stockholm, Sweden.

Introduction: Pelvic local recurrence of colorectal cancer (PRCRC) may be cured if radical surgery is performed. Preoperative assessment normally includes magnetic resonance imaging (MRI). The aim of this study was to evaluate the influence of specific MRI-related findings on outcome of surgery of PRCRC. Read More

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Analysis of Fracture Patterns and Characteristics in Sacral Insufficiency Fracture: Do Sacral Fractures Occur in Patients Who Had Previous Lumbosacral Fusion Insufficiency Fractures or Stress Fractures?

Asian Spine J 2021 May 3. Epub 2021 May 3.

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Study Design: This study is a retrospective analysis of a case.

Purpose: The purpose of this study is to investigate the fracture patterns and risk factors of sacral insufficiency fractures (SIFs) to improve their diagnosis in clinical practice.

Overview Of Literature: SIFs occur when normal stresses are applied to a bone with decreased density, most often due to osteoporosis. Read More

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Inter-observer agreement of transvaginal ultrasound and magnetic resonance imaging in local staging of cervical cancer.

Ultrasound Obstet Gynecol 2021 Apr 29. Epub 2021 Apr 29.

Department of Clinical Science and Education, Karolinska Institutet and Department of Obstetrics and Gynecology Södersjukhuset, 11883, Stockholm, Sweden.

Objectives: To evaluate the inter-observer agreement in relation to observer experience for the assessment of local tumor extension in women with cervical cancer, using transvaginal ultrasound (US) and magnetic resonance imaging (MRI).

Methods: The observers comprised six US specialists with, and seven without previous experience of cervical cancer assessment, five experienced radiologists in pelvic MRI, and four less experienced radiology residents without previous MRI experience. The less experienced US observers, and all MRI observers underwent comprehensive training on assessment of cervical tumor extension while experienced US observers received written directives. Read More

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Bilateral Asymmetry of Bone Density Adjacent to Pelvic Sarcomas: A Retrospective Study Using Computed Tomography.

J Orthop Res 2021 Apr 29. Epub 2021 Apr 29.

Department of Mechanical Engineering, Rice University, Houston, Texas.

Limb-salvaging hemipelvectomy surgeries involving allograft or custom prosthesis reconstruction require high quality remaining pelvic bone for adequate device fixation. Modeling studies of custom pelvis prosthesis designs typically mirror contralateral pelvic bone material properties to the ipsilateral pelvis. However, the extent of bone material property and geometric symmetry, and thus the appropriateness of mirroring, remains unknown and should be considered when designing or analyzing the performance of pelvic prostheses. Read More

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Hysterosalpingography in the assessment of proximal tubal pathology: a review of congenital and acquired abnormalities.

Br J Radiol 2021 Apr 29:20201386. Epub 2021 Apr 29.

Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, Academic Center for Education, Culture, and Research (ACECR), Tehran, Iran.

Tubal and peritoneal disease are the main causes of infertility. Tubal pathology can be either congenital malformation or acquired, proximal or distal, unilateral or bilateral and transient or permanent. Several imaging methods such as laparoscopy, fluoroscopy, saline infusion sonography, and hysterosalpingography (HSG) have been used in the assessment of tubal and peritoneal pathology. Read More

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Practical computer vision application to detect hip fractures on pelvic X-rays: a bi-institutional study.

Trauma Surg Acute Care Open 2021 7;6(1):e000705. Epub 2021 Apr 7.

Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Background: Pelvic X-ray (PXR) is a ubiquitous modality to diagnose hip fractures. However, not all healthcare settings employ round-the-clock radiologists and PXR sensitivity for diagnosing hip fracture may vary depending on digital display. We aimed to validate a computer vision algorithm to detect hip fractures across two institutions' heterogeneous patient populations. Read More

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Successful Laparoscopic Myomectomy in Giant Myoma.

Int J Appl Basic Med Res 2021 Apr-Jun;11(2):108-110. Epub 2021 Apr 8.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

A giant uterine fibroid is a rare tumor of the uterus. Uterine leiomyomas are the most common type of a benign tumor that arises from the female pelvis. Uterine leiomyoma is a smooth muscle tumor. Read More

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Menstrual Cycle Pain is Independent of Ovulation in Adolescents with Primary Dysmenorrhea.

J Pediatr Adolesc Gynecol 2021 Apr 25. Epub 2021 Apr 25.

Department of Pediatrics, Division of Adolescent Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey. Electronic address:

Study Objective: This study aimed to evaluate the presence of anovulation in adolescents with Primary Dysmenorrhea (PD).

Design: Prospective cohort study SETTING: Hacettepe University Children's Hospital, Adolescent Medicine outpatient clinic between September 2018 and September 2019 PARTICIPANTS: Healthy female adolescents (between 11-18 years of age) with regular menstruation with a score of 1-3 according to 'Numerical rating scale' (NRS), and grade 0 (no limitation for daily activities, no analgesic need and systemic symptoms) according to the 'Verbal multidimensional scoring system' (VBSS) were recruited as control group. The participants who met the diagnostic criteria for PD with a NRS score ≥ 4, had analgesic need in at least the last 3 menstrual cycles, defined moderate-severe PD according to VMSS (Grade 2-3) and had analgesic need every time were accepted as the PD group. Read More

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Baseline Characteristics, Evaluation, and Management of Women With Complaints of Recurrent Urinary Tract Infections.

Female Pelvic Med Reconstr Surg 2021 May;27(5):275-280

Trinity Health of New England, Hartford, CT.

Objective: The aims of this study were to determine the proportion of women presenting for recurrent urinary tract infections (UTIs) who met the diagnostic criteria (culture-proven UTI ≥3 in 1 year or ≥2 in 6 months) and to assess advanced testing utilization, preventive therapy use, and risk factors.

Methods: This is a retrospective chart review of women seen as new urogynecology consults for recurrent UTI (rUTI) between April 1, 2017, and April 1, 2018, followed through April 1, 2019. Exclusion criteria included catheter use, cancer treatment within 2 years, and prior organ transplant, urinary diversion, conduit, or bladder augmentation. Read More

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Contrast-Enhanced Ultrasound in Children: Implementation and Key Diagnostic Applications.

AJR Am J Roentgenol 2021 Apr 28. Epub 2021 Apr 28.

Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN.

Contrast-enhanced ultrasound (CEUS) utilization is expanding rapidly, particularly in children, in whom the modality offers important advantages of dynamic evaluation of the vasculature, portability, lack of ionizing radiation, and lack of need for sedation. Accumulating data establish an excellent safety profile of ultrasound contrast agents in children. Although only FDA-approved for IV use in children for characterizing focal liver lesions and for use during echocardiography, growing off-label applications are expanding the diagnostic potential of ultrasound. Read More

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Pelvic congestion syndrome (PCS) as a pathology of postmenopausal women: a case report with literature review.

BMC Womens Health 2021 Apr 27;21(1):181. Epub 2021 Apr 27.

Department of Obstetrics and Gynecology, Division of General Gynecology and Gynecologic Oncology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Background: Due to the scarcity of adequately powered, randomized controlled trials and internationally standardized diagnostic criteria, evidence on the diagnosis and treatment of pelvic congestion syndrome (PCS) is limited. Earlier epidemiologic observations led to the attribution of PCS to the premenopausal state, and a remission of symptoms after menopause is frequently described a hallmark of the pathology. This concept has currently been challenged by radiological studies reporting a notable prevalence of ovarian venous congestion in adult female patients of advanced age. Read More

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Magnetic Resonance Imaging in endometriosis-associated pain.

Minerva Obstet Gynecol 2021 Apr 27. Epub 2021 Apr 27.

Department of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza, University of Rome, Rome, Italy -

Introduction: Endometriosis affects 10%-15% of women in reproductive age and may cause no-cyclic chronic pelvic pain, dysmenorrhea, dyspareunia, urinary tract symptoms, and it is frequently associated with infertility. The peak of incidence is between 24 and 29 years old and the clinical diagnosis of endometriosis is generally delayed by 6-7 years. Laparoscopy with surgical biopsies is the "gold standard" for the diagnosis of endometriosis, with histological verification of endometrial ectopic glands and/or stroma. Read More

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Risk Factors for Neonatal Brachial Plexus Palsy Attributed to Anatomy, Physiology, and Evolution.

Clin Anat 2021 Apr 27. Epub 2021 Apr 27.

Clinical Radiology & Imaging Science, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

The inherent variable anatomy of the neonate and the uniquely-shaped maternal birth canal that is associated with the evolution of human bipedalism, constitute risk factors for neonatal brachial plexus palsy (NBPP). For example, those neonates with a prefixed brachial plexus (BP) are at greater risk of trauma due to lateral neck traction during delivery than those with a normal or postfixed BP. Compared to adults, neonates also have extremely large and heavy heads (high head:body ratio) set upon necks with muscles and ligaments that are weak and poorly developed. Read More

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