Perdas Hemáticas Vaginais não Associadas à Gravidez - Avaliação Radiológica Abnormal Vaginal Bleeding - Imaging Evaluation

Maria Manuel Monteiro, João Castaño, Rui Miguel Costa
2009 · W2741116412
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This review discusses causes of non-pregnancy-related vaginal bleeding in premenopausal and postmenopausal women, highlighting imaging features and the diagnostic utility of ultrasound and MRI.

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Abstract

Background - The vaginal bleeding is a frequent complaint of women. There is a wide spectrum of gynecologic sources, but there are some diseases that can be more specifically found in the premenopausal or in the posmenopausal period. Learning objectives - 1) To discuss the causes of vaginal bleeding non pregnancy-related in premenopausal and postmenopausal women. 2) To review the main imaging features of each one of these diseases. 3) To describe the utility of each imaging modalit y on the diagnosis of these pathologies. Imaging findings - US is usually the first imaging modality to evaluate these patients. Sonohysterography, CT and RM are also useful adjunct tools in the evaluation of certain entities. Endometriosis, adenomyosis and infection are causes specifically found in premenopausal women. Endometrial atrophy, endometrial and vaginal carcinomas are characteristic in posmenopausal women. Leiomyoma, hyperplasia, polyp, estrogen-producing ovarian tumor, trauma and foreign bodies can be observed in both groups. Conclusion - A wide variety of both usual and unusual entities can cause vaginal bleeding. It is important for the radiologist to be aware of the less frequent lesions in order to recognize them. US and MR are the most useful diagnostic tools in uterine, adnex al and vaginal pathology that are responsible for vaginal bleeding.

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endometriosisadenomyosis

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