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Thursday, September 9, 2010

Week 3 Ob/Gyn Case Study Review by Grace


Patient History: A 22 years old woman who presented constant severe adnexal pain that was intermittently sharp and stabbing. Her last normal menstrual period had ended 3 weeks before.The patient had a similar episode 6 months ago which resolved spontaneously and diagnosed as musculoskeletal pain.

Images:

Image #1 Sagittal Rt Ovary



Image #2 Sag Rt Ovary-Color Flow



Image #3 Sag Rt Ovary- Doppler Duplex




Discussion: Based on the above 3 images, right ovary is enlarged and hypoechoic with multiple follicles along its periphery. Also, Color Doppler is shown reduced venous return from the ovary. It is result of stromal, edema, or internal hemorrhage or mass.

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