Week 11: female reproductive system

Question 1

What are the 4 Early Pelvic inflammatory diseases

Answer 1

Salpingitis (fallopian tube)

Oophoritis (ovary)

Endometritis (endometrium) - may have presence of air

cervicitis (cervix)

Question 2

What are the 3 Late Pelvic inflammatory diseases

Answer 2

Hydrosalpinx (serous fluid in fallopian tube caused by blockage)

Pysosalpinx (blockage+inflammation of fallopian tube)

ovarian abscess (from salpingitis)

Question 3

name two types of ovarian tumours.

what additional imaging is best used?

Answer 3

leyioma
fibroid

using diffused CT imaging can help differentiated between benign and malignant/ the spread of disease.

(they will show low ADC values)

Question 4

name two types of uterine malformations

Answer 4

bicornate

septate (most common)

Question 5

where is most common place for ectopic pregnancy

Answer 5

fallopian tube

Question 6

what is endometriosis

• where is it most common
• how is it best imaged

Answer 6

the presence of endometrial tissue outside endometrial cavity

• most common in bowel
• imaged best with laparoscopy, but TV US also effective

MRI can be used when the appear as hemorrhagic cysts (T1 hyperintese, T2 hypo intense)

Question 7

what is appearance of Hemorrhagic cyst on MRI

Answer 7

hypointense on T1

hyperintense on T2