WOMENS-HEALTH Messages for October, 2002: Re: Finding The Right Ovary via Ultrasound

Re: Finding The Right Ovary via Ultrasound

From: samir fouad Aziz MD (anonymous@obgyn.net)
Mon, 7 Oct 2002 12:47:15 -0500 (CDT)

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At Mon, 7 Oct 2002, Curious wrote: >
>Abdominal CT scan revealed cyst on left ovary of 10 years post menopause
>woman.
>
>1st abdominal and transvaginal ultrasound (July) done with patient
>positioned flat. Markedly enlarged left ovary, simple cyst 5.1 x 4.14 x
>4.3 cm. Right ovary unseen.
>
>2nd abdominal and transvaginal ultrasound (August) done with patient's
>bottom propped up on 6"or so foam rubber block. Tech uses free hand to
>manipulate abdomen to shift internal organs. Right ovary found with
>cystic structure. Left ovarian cyst somewhat larger but still appears
>to be simple
>cyst.
>
>3rd ultrasound (October) done with patient flat for abdominal and bottom
>propped up on foam rubber block for transvaginal. New equipment,
>supposedly with all the bells and whistles included, utilized. Company
>reps still
>working with tech to familiarize her with new equipment for this third
>set of ultrasounds. Despite repeated and lengthy attempts right ovary
>not found. Left ovarian cyst still appears to be simple cyst but
>somewhat larger.
>
>Three different techs for the 3 sets of ultrasounds. Only tech doing
>second set of ultrasounds utilized her free hand to manipulate the
>abdomen. None of the three had patient roll to one side and/or the
>other to help shift and re-distribute the internal organs.
>
>Any suggestions for positioning, moving or manipulating to enhance the
>finding of that right ovary and getting further information on the
>apparent cyst size and appearance that patient can offer or suggest to
>the tech??

a cyst in the oovary 10 years after menopause is better diagnosed by laparoscopy and removed meanwhile to see the right ovary

-- SAmir Fouad Aziz Assist Professor OB.Gyn Director Gyn.oncology Al-Azhar University-Egypt Editorial advisor OBgyn.net(P&B,Gyn.Oncology)

This is for teaching purposes only

Next message: Cass: "Bleachy discharge"
Previous message: Elizabeth: "working as a flight attendant while pregnant"
In reply to: Curious: "Finding The Right Ovary via Ultrasound"
Next in thread: Curious: "Thank you, Dr Aziz Re: Finding The Right Ovary via Ultrasound"
Reply: Curious: "Thank you, Dr Aziz Re: Finding The Right Ovary via Ultrasound"

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