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11 Possible Causes for Cul De Sac Mass, Pelvis Ultrasound Abnormal

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  • Endometriosis

    A tethered submucosal mass centered at the anterior mid rectum representing cul-de-sac implants involving the rectal wall is typical.[] […] stage of disease does not necessarily correlate with the severity of the symptoms 16 Examination findings non-specific tenderness along the adnexa and uterosacral ligaments, cul-de-sac[] , thickened rectovaginal septum, induration of the cul-de-sac, nodules on the uterosacral ligament, and/or adnexal masses.[]

  • Adenocarcinoma of the Ovary

    Preoperative computer tomography (CT) of the abdomen and pelvis, and abdominal ultrasound (U/S) revealed an intra-abdominal three cm mass with solid components between the[] CASE: The patient, a 64-year-old, nulliparous postmenopausal Greek woman presented with a complaint of abdominal pain and abnormal uterine bleeding.[]

  • Metastatic Ovarian Carcinoma

    Abstract Pseudo-Meigs' syndrome is a rare complication of benign leiomyomas of the female genital tract. We report a patient with pseudo-Meigs' syndrome due to a large broad ligament leiomyoma, which also caused bilateral reversible hydronephrosis. This unusual combination of pseudo-Meigs' syndrome, broad ligament[…][]

  • Hydatidiform Mole

    Ultrasonography of pelvis revealed fluid in cul-de-sac and a sac like mass of 1.8 cm attached to the left ovary.[] Tests done may include: hCG (quantitative levels) blood test Abdominal or vaginal ultrasound of the pelvis Chest x-ray CT or MRI of the abdomen (imaging tests) Complete blood[] A pregnancy ultrasound will show a snowstorm appearance with an abnormal placenta, with or without some development of a baby.[]

  • Tubal Pregnancy

    […] the cul-de-sac.[] 20-30% of ectopics have no detectable abnormality on ultrasound The usual finding for ectopic is a mass on one side, some fluid in the pelvis, and no normal pregnancy structures[] Recovery of blood from the cul-de-sac by means of culdocentesis is highly suggestive of a ruptured fallopian tube and tubal pregnancy; it requires immediate surgical exploration[]

  • Agenesis of Uterus

    Pelvic clinical examination evidenced a normal vagina, ending in a "cul de sac" where uterine cervix was absent; above this level an enlarged uterus was palpable.[] Ultrasound examination showed normally located bilateral kidneys with abnormally small pelvi-calyceal system with disproportionate thick renal parenchyma.[] The left ovary was enlarged due to a cystic mass.[]

  • Ovarian Pregnancy

    Pelvic examination revealed a left adnexal mass and transvaginal ultrasound confirmed a left adnexal echocomplex mass with free fluid in the cul-de-sac.[] The uterus, fallopian tubes, and left ovary were normal, and no cul-de-sac blood or ascites were found.[] Laparoscopy showed a two-cm mass partially covering the right ovary, which contained an unruptured GS.[]

  • Pelvic Neoplasm

    Additional tests may include: ureteroscopy to check for abnormalities in each ureter and renal pelvis intravenous pyelogram (IVP) to evaluate the flow of fluid from the kidneys[] […] to the bladder CT scan of the kidneys and bladder ultrasound of the abdomen MRI biopsy of cells from each renal pelvis or ureter Current treatments for transitional cell[]

  • Ectopic Pregnancy with Intrauterine Pregnancy

    The combination of adnexal mass and echogenic cul-de-sac fluid makes this patient very high risk for ectopic pregnancy.[] 20-30% of ectopics have no detectable abnormality on ultrasound The usual finding for ectopic is a mass on one side, some fluid in the pelvis, and no normal pregnancy structures[] […] other than a simple cyst (see the image below), echogenic fluid in the cul-de-sac, or anything more than a small amount of fluid in the cul-de-sac.[]

  • Pelvic Appendix

    Transvaginal ultrasound clarified the finding as a bulbous fluid-filled structure extending into the cul-de-sac. The structure was diagnosed as an inflamed appendix.[] (Image: JackF/iStock/Getty Images) Because the appendix may be located in the pelvis, appendicitis in women can be confused with abnormalities of the pelvic organs, including[] Transabdominal ultrasound, useful in the diagnosis of appendicitis, showed a mass between the uterus and the right ovary.[]

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