Document Detail

Uterine inner myometrial echogenic foci. Relationship to prior dilatation and curettage and endocervical biopsy.
MedLine Citation:
PMID:  1920589     Owner:  NLM     Status:  MEDLINE    
The frequent presence of small echogenic foci within the inner myometrium in women who have had prior uterine instrumentation is reported. Bright foci were observed in 35 of 80 patients who had had prior dilatation and curettage or endocervical biopsy and in only 2 of 174 patients who gave no history of either procedure (P less than 0.005). These foci tend to be small (3 to 6 mm), linear, usually nonshadowing, single or multiple, and located immediately adjacent to the endometrium anywhere along the length of the endometrial cavity; they can be seen many years after the procedure was performed. The histopathologic features of these foci are unconfirmed, but we suspect they represent calcification or fibrosis at sites of mechanical injury to myometrium. The presence of these foci serves as a marker of prior instrumentation and probably has no clinical significance. However, sonographers who are aware of their possible occurrence, can avoid mistaking them for leiomyoma calcifications or for air in the endometrium or myometrium in patients with suspected endometritis.
D D Burks; B F Stainken; T K Burkhard; Z N Balsara
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  10     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-18     Completed Date:  1991-11-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  487-92     Citation Subset:  IM    
Department of Radiology, Naval Hospital, San Diego, California 92134-5000.
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MeSH Terms
Abortion, Spontaneous / pathology
Cervix Uteri / pathology,  ultrasonography
Dilatation and Curettage*
Endometrium / pathology,  ultrasonography
Myometrium / pathology,  ultrasonography*
Pelvic Inflammatory Disease / pathology
Uterus / pathology,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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