Imaging of Acquired Uterine Lesions

Petanovski, Zorancho and Kurjak, Asim and Petanovska Kostova, Emilija (2022) Imaging of Acquired Uterine Lesions. Donald School Journal of Ultrasound in Obstetrics and Gynecology, 16 (4). pp. 298-303. ISSN 0973-614X, eISSN: 0975-1912

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Abstract

In general, the group of acquired uterine lesions consists of enhanced myometrial vascularity (EMV)/arteriovenous malformation
(AVM), the isthmocele, intrauterine adhesions (IUAs) (Asherman’s syndrome), and nabothian cysts. Uterine AVMs can be congenital
or acquired. These vascular lesions can cause severe hemorrhage that can be life-threatening for a woman, so it has been
recently suggested that curettage should not be performed in a patient who presents with abnormal uterine bleeding after an
abortion or a delivery when there is an ultrasound-detected hypervascular area with turbulent flow within the myometrium.
Color Doppler sonography is the preferred method of diagnosing uterine EMV/AVMs. The isthmocele is a myometrial defect
resembling a pouch on the anterior wall of the uterine isthmus over a previous cesarean scar. Transvaginal ultrasound (TVUS)
is the initial and most usual method described to assess the integrity of the uterus wall in nonpregnant patients. IUAs are also
known as intrauterine synechiae or endometrial sclerosis. The most common presentation of Asherman’s syndrome is secondary
infertility. Two-dimensional (2D)/three-dimensional (3D) TVUS is useful in measuring the thickness of the endometrial lining.
Also, together with or without sonohysterography (injection of sterile saline into the uterine cavity) can show the adhesions
that characteristically appear as “bridging bands” of tissue that distort the cavity. Nabothian cysts are a common occurrence on
the cervix. These are retention cysts of the endocervical glands caused by chronic inflammation. 3D ultrasonography gives an
excellent image and the possibility of detecting nabothian cysts.
Keywords: Color Doppler sonography, Enhanced myometrial vascularity/arteriovenous malformation, Intrauterine adhesions
(Asherman’s syndrome), Nabothian cysts, The isthmocele, Transvaginal ultrasound, Three-dimensional ultrasonography.
Donald School Journal of Ultrasound in Obstetrics and Gynecology (2022): 10.5005/jp-journals-10009-1946

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Zoranco Petanovski
Date Deposited:	29 Nov 2023 11:42
Last Modified:	29 Nov 2023 11:42
URI:	https://eprints.ugd.edu.mk/id/eprint/32596

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