Tuesday, August 16, 2005

Image Case-Gynecology Ultrasound


A longitudnal US image of a female who presented with urinary incontinence with a previous history of obstructed labor.

What is the diagnosis?

ANSWER- VESICOVAGINAL FISTULA (almost all got it correct)
WINNER-NADEEM

Dear Nadeem drop me a mail at sumerdoc-AT-yahoo-DOT-com with your postal address to claim your prize.

Winner will get a free copy of the book "Review of Radiology" by Dr Sumer K Sethi, a small handbook of Radiology for medical students
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12 comments:

Anonymous said...

Vessicovaginal fistula

Sumer's Radiology Site said...

kindly give ur answers with ur name and email id if possible so that ur eligible for the prize! prize wud be announced after a week!!

nadeem said...

vesicovaginal fistula.

sharon said...

think it's a vesicovaginal fistula based on the history.....i do not know head or tail about interpreting an ultrasound.

Sumer's Radiology Site said...

i ll give u a hint fluid on USG appears black..

mahesh said...

vesicourethral fistula

Anonymous said...

pressure necrosis of bladder base and urethra

Anonymous said...

ureterovaginal fistula

nadeem said...

Dear sumer, can i give a second attempt...
Even i can't read the given usg, with the help of your history & hint...i think it is
Pelvic/Vulval henatoma:
exp:U said the patient gives h/o obstructed labour, then it would have been lead to an instrumental delivery(most probably),that can lead to rupture of paravaginal venous plexus (black fluid in USG).
Pelvic/Vulval hematoma a/w urinary incontinence.
so that is my answer !

chhavi said...

hi...vesicovaginal fistula is likely

dr.ravi said...

Hi Sumer !
Just saw the quiz case of Vesico-vaginal fistula.
How do you explain a well filled u.bladder with presence of VVF ?

dr.ravi said...

Sorry, i forgot to mention my e-mail id, it is
ravikadasne@yahoo.com
Thanks.
dr.ravi.

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