Simple ovarian cysts and cyst accidents are common gynaecological presentations in pre-menopausal women. In this case report, a cyst rupture occurred during ultrasound scan, neatly uniting the pre- and post-accident appearances in one event. The patient attended with pain and a 6cm cyst seen on CT, for ultrasound evaluation and follow-up by gynaecology as a […]
Leah Marsden
Wye Valley NHS Trust
The established treatment for locally advanced cervical cancer is chemoradiotherapy with external beam radiotherapy (EBRT) and weekly Cisplatin followed by intrauterine brachytherapy. Radiotherapy for cervix cancer is associated with acute and long-term toxicity to adjacent pelvic organs (bladder, bowel, rectum) as they lie in close proximity to the radiotherapy target volume of the cervix, uterus, […]
Benjamin Thomas, Susan Lalondrelle
Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London
A clinically useful gynaecological ultrasound scan and report is pivotal to the patient’s ongoing management. The referring clinician should have their clinical question answered, a diagnosis given for any abnormal findings and, where appropriate, recommendation for further investigation or referral to a specialist team. This is particularly pertinent with regards to the gynaecological patient. A […]
Alison Smith
Guy's and St Thomas' NHS Foundation Trust
Views of the cervix in a routine transvaginal scan are usually obtained when assessing the appearance and size of the uterus, and the vagina is visualised as the probe is first introduced, while in the introitus view. It is easy to overlook these structures and to concentrate mainly on assessing the uterus and the ovaries. […]
Naomi Goldsworthy, Angela Clough
Derriford Hospital
Retained pregnancy tissue (RPT) is a common complication affecting many women following delivery, miscarriage and termination of pregnancy. The use of transvaginal ultrasound remains the most accurate imaging modality for assessing symptomatic women. However, diagnostic accuracy is heavily dependent on a number of factors. Prompt, accurate diagnosis of RPT is essential to identify women who […]
Ellie Hulme, Jemma Johns
King's College Hospital, King's College London
The development of transvaginal ultrasound scanning (TVS) continues to revolutionise the diagnosis and management of gynaecological pathology. As well as providing assessment of pelvic morphology, high resolution dynamic imaging enables assessment of pelvic mobility that is not possible with other imaging modalities such as MRI. As an intimate examination, it is paramount that operators strive […]
Roxanne Sicklen
Barnet Hospital
Ultrasound, chiefly transvaginal ultrasound (TVUS), is the preferred imaging modality for assessing female pelvic anatomy, making it an important gynaecological investigation. TVUS is unique in that it acts not only as an imaging modality but as a dynamic examination, and as such many findings cannot be determined from stored static images alone. This means, more […]
Dr Uzo Sampson, Miss Jackie Ross
King's College Hospital, London
Hysterosalpingography (HSG) is a relatively inexpensive outpatient radiographic procedure that has been performed for over a century. It provides an assessment of the uterus and fallopian tubes and is used in the evaluation of primary and secondary infertility. Other indications include the post-operative assessment of tubal ligation or reanastomosis, investigation of recurrent spontaneous abortions and […]
Dr Richard J C Dunham
Leeds Teaching Hospitals NHS Trust