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1.Anatomy of Ovaries and Fallopian Tubes
2.Imaging Techniques for Ovaries and Fallopian Tubes
3.Common Disorders of the Ovaries and Fallopian Tubes
1.Anatomy of Ovaries and Fallopian Tubes ·
Ovaries:
o Position: Located bilaterally adjacent to the uterus within the pelvic region.
o Form: These small, almond-like organs play a crucial role in egg and hormone production.
o Dimensions: Their size can fluctuate based on age and hormonal levels, typically around 3 cm x 1.5 cm x 1.5 cm in women who have not yet reached menopause.
Fallopian Tubes:
o Position: They stretch from the upper sections of the uterus to the ovaries but are generally not visible in ultrasound scans unless they are swollen or contain fluid.
o Role: These tubes are responsible for the movement of eggs from the ovaries to the uterus.
2. Imaging Techniques for Ovaries and Fallopian Tubes Transvaginal Ultrasound (TVUS):
o Preferred Approach: This method yields clear images due to its closeness to the pelvic organs.
o Procedure: The probe is inserted vaginally, causing minimal discomfort, and it provides high-resolution visuals of the ovaries and nearby structures.
3. Common Disorders of the Ovaries and Fallopian Tubes
1.Ovarian Cysts:
o Categories: The most prevalent are functional cysts, along with dermoid cysts, endometriomas, and cystadenomas.
o Visual Characteristics: Simple cysts appear anechoic with thin walls, while complex cysts might show septations, solid elements, or internal debris.
2.Polycystic Ovary Syndrome (PCOS):
o Visual Characteristics: The ovaries may be enlarged, displaying numerous small cysts around the edges and increased echogenicity of the stroma.
Pathologies of the Fallopian Tubes:
o Hydrosalpinx: This condition presents as a fluid-filled tube resembling a sausage, often resulting from previous infections or endometriosis.
o Salpingitis: Inflammation of the tubes can lead to a thickened appearance, sometimes accompanied by surrounding fluid.
Structure/Condition | Ultrasound Features | Scanning Tips |
Normal Ovaries | Homogeneous texture, follicles visible | Optimal during early menstrual phase for assessment |
Ovarian Cysts | Anechoic appearance, possible septations | Evaluate size, wall thickness, and contents for characterization |
PCOS | >12 follicles measuring 2-9 mm, increased volume | Assess both ovaries for consistency in appearance |
Fallopian Tubes | Typically not visible unless abnormal | Look for dilation or fluid accumulation in cases of suspected pathology |