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Ultrasonography of adnexal causes of acute pelvic pain in pre-menopausal non-pregnant women
Carolyn S, Dupuis,김영환 대한초음파의학회 2015 ULTRASONOGRAPHY Vol.34 No.4
Acute-onset pelvic pain is an extremely common symptom in premenopausal women presentingto the emergency department. After excluding pregnancy in reproductive-age women,ultrasonography plays a major role in the prompt and accurate diagnosis of adnexal causesof acute pelvic pain, such as hemorrhagic ovarian cysts, endometriosis, ovarian torsion, andtubo-ovarian abscess. Its availability, relatively low cost, and lack of ionizing radiation makeultrasonography an ideal imaging modality in women of reproductive age. The primary goal ofimaging in these patients is to distinguish between adnexal causes of acute pelvic pain thatmay be managed conservatively or medically, and those requiring emergency/urgent surgical orpercutaneous intervention.
Zeynep Vardar,Carolyn S.Dupuis,Alan J. Goldstein,Efaza Siddiqui,Baran Umut Vardar,Young H. Kim 대한초음파의학회 2022 ULTRASONOGRAPHY Vol.41 No.4
Pelvic pain and vaginal bleeding are common symptoms in postpartum women presenting to the emergency room (ER). Pelvic ultrasonography plays a crucial role in evaluating symptomatic postpartum patients by allowing a rapid diagnosis and treatment initiation. The main goal of imaging is to distinguish between causes of pelvic pain and vaginal bleeding that may be managed conservatively and those requiring emergent intervention. This pictural essay focuses on the ultrasonographic features of common postpartum conditions for which patients may present to the ER with vaginal bleeding and pelvic pain, including retained products of conception, endometritis, uterine arteriovenous malformation, uterine artery pseudoaneurysm, ovarian vein thrombosis, bladder flap hematoma, and uterine dehiscence/rupture.
Diagnosing ectopic pregnancy in the emergency setting
Robert Lee,Carolyn Dupuis,Byron Chen,Andrew Smith,Young H. Kim 대한초음파의학회 2018 ULTRASONOGRAPHY Vol.37 No.1
Ectopic pregnancy is the implantation of a fertilized egg outside the uterine endometrial cavity. For women presenting to the emergency department with abdominal pain and/or vaginal bleeding, ectopic pregnancy is an important diagnostic consideration. The diagnosis is made based on laboratory values and ultrasound imaging findings. The ultrasound appearance of both normal early pregnancy and ectopic pregnancy are variable and often subtle, presenting diagnostic challenges for radiologists. This pictorial essay describes and illustrates the sonographic findings of ectopic pregnancy and reviews the differential diagnoses that can mimic ectopic pregnancy on ultrasound. With the possibility of medical management, the value of early detection and prompt initiation of treatment has increased in improving clinical outcomes and preventing the complications of ectopic pregnancy
Baran Umut Vardar,Carolyn S.Dupuis,Alan J. Goldstein,Zeynep Vardar,김영환 대한초음파의학회 2022 ULTRASONOGRAPHY Vol.41 No.2
Ultrasonography is often the initial modality used to evaluate patients found to have abnormal liver function tests (LFTs) in the emergency department. While an assessment for biliary ductal dilatation and obstruction remains one of the main questions to answer, radiologists should also be aware of the ultrasonographic appearance of other conditions that can cause abnormal LFTs. This may be crucial for the management and disposition of patients in the emergency department. This article reviews the ultrasonographic features of diseases that may cause abnormal LFTs.
Role of ultrasound in the evaluation of first-trimester pregnancies in the acute setting
Venkatesh A. Murugan,Bryan O’Sullivan Murphy,Carolyn Dupuis,Alan Goldstein,Young H. Kim 대한초음파의학회 2020 ULTRASONOGRAPHY Vol.39 No.2
In patients presenting for an evaluation of pregnancy in the first trimester, transvaginal ultrasound is the modality of choice for establishing the presence of an intrauterine pregnancy; evaluating pregnancy viability, gestational age, and multiplicity; detecting pregnancy-related complications; and diagnosing ectopic pregnancy. In this pictorial review article, the sonographic appearance of a normal intrauterine gestation and the most common complications of pregnancy in the first trimester in the acute setting are discussed.