Ecografia ginecologica

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This document outlines the topics covered in a lecture on gynecologic ultrasound II. The lecture covers: introduction, ovaries, non-neoplastic lesions, neoplastic lesions, pelvic inflammatory disease, postpartum pelvic disorders, and conclusions. For each topic, relevant references and imaging archives are listed. The goal is to review normal ultrasound anatomy and a variety of pathological conditions that can be identified on gynecologic ultrasound exams.

ECOGRAFIA GINECOLOGICA II

Dr. Noé Fabricio Morales Mérida
Residente II
Departamento de Diagnostico por Imágenes
Hospital Roosevelt
Mayo 2013

Ecografía ginecológica II

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INTRODUCCION
OVARIO
LESIONES NO NEOPLASICAS
LESIONES NEOPLASICAS
ENFERMEDAD INFLAMATORIA PELVICA
TRASTORNOS PELVICOS TRAS EL PARTO
CONCLUSIONES

Ecografía ginecológica II

• OVARIO NORMAL
• OVARIO POSTMENOPAUSICO

Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah
Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011.
Volume One. Chapter 15 pages 572-597.

William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial
Marbán, Tercera edición, 2005. Capítulo 23.

Ecografía ginecológica II

• QUISTES FUNCIONALES
• QUISTES HEMORRAGICOS
• ENDOMETRIOMA
• ENFERMEDAD POLIQUISTICA DEL OVARIO
• TORSION DEL OVARIO

Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute
Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients.
RadioGraphics 2008; 28:1645–1659

Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not
to Worry?. RadioGraphics 2012; 32:1621–1639

IMAGENES

ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

Kuligowska E et al. Pelvic Pain: Overlooked and Underdiagnosed Gynecologic
Conditions Radiographics 2005;25:3-20

Steinkeler J A et al. Female Infertility: A Systematic Approach to Radiologic Imaging
and Diagnosis. Radiographics 2009;29:1353-1370

Tony T. Lee, MD • Mary E. Rausch. Polycystic Ovarian Syndrome: Role of Imaging in
Diagnosis . RadioGraphics 2012; 32:1643–1657

Ecografía ginecológica II

• TUMORES DE SUPERFICIE EPITELIAL-ESTROMA
• TUMORES DE CELULAS GERMINALES
• TUMORES METASTASICOS

ARCHIVO DIAGNOSTICO POR IMÁGENES HOSPITAL ROOSEVELT

CASOS INTERESANTES

IMÁGENES DEL ARCHIVO DEL HOSPITAL ROOSEVELT

Jose C. Varghese, Mary-Jane O'Neill, Deborah A. Gervais, Giles W. Boland and Peter
R. Mueller. Transvaginal Catheter Drainage of Tuboovarian Abscess Using the Trocar
Method. American Journal of Roentgenology 2001 177:1, 139-144

Ecografía ginecológica II

• PRODUCTOS RETENIDOS DE LA CONCEPCIÓN

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Ecografia ginecologica

1. ECOGRAFIA GINECOLOGICA II Dr. Noé Fabricio Morales Mérida Residente II Departamento de Diagnostico por Imágenes Hospital Roosevelt Mayo 2013

2. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

3. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

4. Ecografía ginecológica II • OVARIO NORMAL • OVARIO POSTMENOPAUSICO

5. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

6. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

7. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

8. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

9. Ecografía ginecológica II • OVARIO NORMAL • OVARIO POSTMENOPAUSICO

10. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

11. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

12. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

13. Ecografía ginecológica II • QUISTES FUNCIONALES • QUISTES HEMORRAGICOS • ENDOMETRIOMA • ENFERMEDAD POLIQUISTICA DEL OVARIO • TORSION DEL OVARIO

14. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

15. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

16. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

17. Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not to Worry?. RadioGraphics 2012; 32:1621–1639

18. Ecografía ginecológica II • QUISTES FUNCIONALES • QUISTES HEMORRAGICOS • ENDOMETRIOMA • ENFERMEDAD POLIQUISTICA DEL OVARIO • TORSION DEL OVARIO

19. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

20. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

21. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

22. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

23. Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not to Worry?. RadioGraphics 2012; 32:1621–1639

24. IMAGENES ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

25. Ecografía ginecológica II • QUISTES FUNCIONALES • QUISTES HEMORRAGICOS • ENDOMETRIOMA • ENFERMEDAD POLIQUISTICA DEL OVARIO • TORSION DEL OVARIO

26. Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not to Worry?. RadioGraphics 2012; 32:1621–1639

27. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

28. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

29. Kuligowska E et al. Pelvic Pain: Overlooked and Underdiagnosed Gynecologic Conditions Radiographics 2005;25:3-20

30. Ecografía ginecológica II • QUISTES FUNCIONALES • QUISTES HEMORRAGICOS • ENDOMETRIOMA • ENFERMEDAD POLIQUISTICA DEL OVARIO • TORSION DEL OVARIO

31. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

32. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

33. Steinkeler J A et al. Female Infertility: A Systematic Approach to Radiologic Imaging and Diagnosis. Radiographics 2009;29:1353-1370

34. Tony T. Lee, MD • Mary E. Rausch. Polycystic Ovarian Syndrome: Role of Imaging in Diagnosis . RadioGraphics 2012; 32:1643–1657

35. Tony T. Lee, MD • Mary E. Rausch. Polycystic Ovarian Syndrome: Role of Imaging in Diagnosis . RadioGraphics 2012; 32:1643–1657

36. Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not to Worry?. RadioGraphics 2012; 32:1621–1639

37. Ecografía ginecológica II • QUISTES FUNCIONALES • QUISTES HEMORRAGICOS • ENDOMETRIOMA • ENFERMEDAD POLIQUISTICA DEL OVARIO • TORSION DEL OVARIO

38. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

39. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

40. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

41. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

42. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

43. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

44. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

45. Ecografía ginecológica II • TUMORES DE SUPERFICIE EPITELIAL-ESTROMA • TUMORES DE CELULAS GERMINALES • TUMORES METASTASICOS

46. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

47. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

48. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

49. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

50. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

51. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

52. ARCHIVO DIAGNOSTICO POR IMÁGENES HOSPITAL ROOSEVELT

53. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

54. ARCHIVO DIAGNOSTICO POR IMÁGENES HOSPITAL ROOSEVELT

55. Ecografía ginecológica II • TUMORES DE SUPERFICIE EPITELIAL-ESTROMA • TUMORES DE CELULAS GERMINALES • TUMORES METASTASICOS

56. ARCHIVO DIAGNOSTICO POR IMÁGENES HOSPITAL ROOSEVELT

57. ARCHIVO DIAGNOSTICO POR IMÁGENES HOSPITAL ROOSEVELT

58. Faye C. Laing, MD • Sandra J. Allison. US of the Ovary and Adnexa: To Worry or Not to Worry?. RadioGraphics 2012; 32:1621–1639

59. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

60. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

61. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

62. Ecografía ginecológica II • TUMORES DE SUPERFICIE EPITELIAL-ESTROMA • TUMORES DE CELULAS GERMINALES • TUMORES METASTASICOS

63. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

64. CASOS INTERESANTES IMÁGENES DEL ARCHIVO DEL HOSPITAL ROOSEVELT

65. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

66. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

67. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

68. William D. Middleton, Alfred B. Kurtz, Barbara S. Hertzberg. Ecografiía. Editorial Marbán, Tercera edición, 2005. Capítulo 23.

69. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

70. Andrew W. Potter, MD • Chitra A. Chandrasekhar. US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients. RadioGraphics 2008; 28:1645–1659

71. Jose C. Varghese, Mary-Jane O'Neill, Deborah A. Gervais, Giles W. Boland and Peter R. Mueller. Transvaginal Catheter Drainage of Tuboovarian Abscess Using the Trocar Method. American Journal of Roentgenology 2001 177:1, 139-144

72. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

73. Ecografía ginecológica II • PRODUCTOS RETENIDOS DE LA CONCEPCIÓN

74. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

75. Carol M. Rumack, MD, Stephanie R. Wilson, MD, J. William Charboneau, MD, Deborah Levine, MD. DIAGNOSTIC ULTRASOUND. FOURTH EDITION. Elsevier Mosby, 2011. Volume One. Chapter 15 pages 572-597.

76. ARCHIVO DE IMÁGENES HOSPITAL ROOSEVELT

77. Ecografía ginecológica II • • • • • • • INTRODUCCION OVARIO LESIONES NO NEOPLASICAS LESIONES NEOPLASICAS ENFERMEDAD INFLAMATORIA PELVICA TRASTORNOS PELVICOS TRAS EL PARTO CONCLUSIONES

78. Ecografía ginecológica II

Editor's Notes

DESARROLLO DE LA TRAQUEA:La zona distal a la laringe, el revestimiento endodermico del tubo laringotraqueal se diferencia en epitelio y glandulas de la traquea y en el epitelio pulmonar.

Ecografia ginecologica

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Editor's Notes