US of abnormal uterine bleeding

Williams PL, Penny L Williams, Sherelle L Laifer-Narin, Laifer-Narin SL, Sherelle Laifer‐Narin, Ragavendra N, Nagesh Ragavendra
Radiographics : a review publication of the Radiological Society of North America, Inc · 2003 · vol. 23(3) , pp. 703–718 · doi:10.1148/rg.233025150 · PMID:12740471 · W2153812231
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Ultrasound effectively evaluates various causes of abnormal uterine bleeding in premenopausal, pregnant, and postmenopausal women, including endometriosis, adenomyosis, leiomyomas, pregnancy complications, and malignancy.

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Abstract

Any significant deviation from a woman's established menstrual pattern may be considered abnormal uterine bleeding, and several factors direct evaluation of a patient with such bleeding. Premenopausal disorders that are well evaluated with ultrasound (US) include endometriosis, adenomyosis, and leiomyomas. A positive pregnancy test in a woman of childbearing age prompts a search for an intrauterine pregnancy. Possible complications that may contribute to bleeding include ectopic pregnancy; placental factors including position, trauma, and infection; gestational trophoblastic disease; preterm labor; and postpartum complications. Atrophic changes, hormonal status, and carcinoma are considerations in the postmenopausal patient with abnormal uterine bleeding. Foreign bodies, trauma, infection, polyps, and iatrogenic causes can be observed in all groups. Differential diagnoses for abnormal uterine bleeding in premenopausal, pregnant, and postmenopausal patients are well evaluated with US, and US techniques have greatly facilitated evaluation of pelvic disease. Urgent and emergent conditions such as ectopic pregnancy, placenta previa, and preterm labor are readily identifiable.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Uterine Hemorrhage Diagnosis, Differential Diagnosis, Differential Female Female Humans Humans Pregnancy Pregnancy Risk Factors Risk Factors Ultrasonography Ultrasonography Uterine Hemorrhage Uterine Hemorrhage Uterine Hemorrhage

Citation neighborhood (2-hop)

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References (28)

Cited by (8)

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License: CC0 · commercial use OK