Document Detail


Myoma vs. contraction in pregnancy: differentiation with color Doppler imaging.
MedLine Citation:
PMID:  8478456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During pregnancy, leiomyomas may cause complications such as spontaneous abortion, premature labor, and obstruction of labor. The conventional real-time ultrasound examination usually detects myomas adequately, but, in some cases, a local thickening of the uterine wall persists throughout the examination, interfering with the differentiation between myoma and contraction. In such cases, repeat scanning approximately 30 minutes later differentiates contractions, which usually resolve, from myomas. We examined 10 patients with B mode and color Doppler ultrasonography. In the 5 patients with myoma, we observed splaying of the vessels around the mass, whereas in the 5 patients with contraction, there was no vessel displacement in the area of the local myometrial thickening. The use of color Doppler and observation of these findings may obviate a prolonged ultrasound examination in questionable cases.
Authors:
A Kessler; D G Mitchell; K Kuhlman; B B Goldberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  21     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-05-27     Completed Date:  1993-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  241-4     Citation Subset:  IM    
Affiliation:
Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
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MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Humans
Leiomyoma / blood supply,  ultrasonography*
Myometrium / ultrasonography
Pregnancy
Pregnancy Complications, Neoplastic / pathology,  ultrasonography*
Uterine Contraction / physiology*
Uterine Neoplasms / blood supply,  ultrasonography*
Uterus / blood supply,  ultrasonography*

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