Re: Uterine vs ovarian
From: art fougner, md (evsono@pipeline.com)
Tue Jun 14 12:11:55 2005
Jim ..
any images you'd care to post?
art
At Tue, 14 Jun 2005, James Smeltzer wrote:
>
>Hi,
>
>Just had a case of massive (10 cm) edema of a normal ovary with a
>partial torsion. Appearance was so bizarre and massive, and with a very
>LOW RI I thought it was a solid tumor. With a partial torsion,
>downstream from obstruction, you get (in carotids AND leg arteries AND
>ovaries) less pulsatile flow because you are observing low resistance
>runoff below the dam, and the tissue perfused is vasodilated because of
>the proximal obstruction. THis can be confused with a cancer flow
>signature - as I was confused. She had the ovary out.
>
>I believe that the partial torsion was primary. With total obstruction
>and infarction you get no flow. Trace the infundibulopelvic artery &
>vein with the color or power (if color not sensitive enough) on to show
>the vessels and the twisting of the partial torsion - at least this is
>what I plan to have sonographers do NEXT time they find massive ovarian
>size + low RI of the ovary. ;^}.
>
>Isn't ultrasound great - doing it 20 years and still get surprised....
>
>Jim S
>
>--
>James S. Smeltzer, MD, FACOG, SMFM
>Consultant, Maternal Fetal Medicine
>Wellstar Physicians' Group
>Northwest Women's Care
>787 Campbell Hill St
>Marietta GA 30060
>James.Smeltzer@wellstar.org
>VM 678-290-3035
>Off 770-528-0260
>Page 404-318-3451
>
>>>> suzyhny@yahoo.com 6/13/2005 8:09:23 PM >>>
>
>Hi Everybody
>
>The only experience I have had with uterine and ovarian arteries is
>when I do ovarian doppler intravaginally to r/o torsion. I have been
>told by a radiologist that the ovary is fed by both the uterine and
>ovarian arteries. To tell the difference is to recognize the diastolic
>notch in the uterine art. Just because we see uterine arterial flow
>within the ovary does not mean that the ovarian artery is not torsed.
>Generally if I see ovarian flow from the ovarian artery in the ovsry,
>then it's safe to say there's no torsion. Please enlighten me if this is
>not correct. Suzy Hettena RDMS
>
>out!
>
>>>>>>>>>>>>>> Confidentiality Disclaimer <<<<<<<<<<<<<<<<
>
>This email and any files transmitted with it may contain confidential and /or
>proprietary information in the possession of WellStar Health System, Inc.
>("WellStar") and is intended only for the individual or entity to whom
>addressed. This email may contain information that is held to be privileged,
>confidential and exempt from disclosure under applicable law. If the reader of
>this message is not the intended recipient, you are hereby notified that any
>unauthorized access, dissemination, distribution or copying of any information
>from this email is strictly prohibited, and may subject you to criminal and/or
>civil liability. If you have received this email in error, please notify the
>sender by reply email and then delete this email and its attachments from your
>computer. Thank you.
>================================================================
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
