ULTRASOUND Messages for June, 2005: Re: Uterine vs ovarian

Re: Uterine vs ovarian - James Smeltzer
From: Latha Natarajan (nattu@vsnl.com)
Wed Jun 15 04:40:53 2005

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Dear Jim. Very interesting reading.......your mail. Esp. the Low indices during the initial phase of "twisting". How often do you trace the Inf. pelvic vessels under normal circumstances.?
Thanks for the details. LN.
Dr. Latha Natarajan, Physician and Sonologist, Bangalore, India.

>----- Original Message -----
From: "James Smeltzer" <James.Smeltzer@wellstar.org> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net> Sent: Tuesday, June 14, 2005 9:33 PM Subject: Re: Uterine vs ovarian
> 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
>
>> ================================================================

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