Introduction Ultrasound in labour (intrapartum ultrasound) has come to the fore in the last decade stemming from both an increased desire for a reliable method of labour assessment coupled with increased availability of ultrasound on the delivery suite. The use of ultrasound in the delivery suite currently is predominantly for presentation, amniotic fluid and fetal heart assessment, but there i...

This case study describes a pregnant patient with vaginal bleeding who had a bedside endovaginal ultrasound in the emergency department (ED). The emergency physician identified a live intra-uterine pregnancy (IUP) with another structure that appeared to be a second gestational sac. The patient subsequently had an endovaginal ultrasound in the radiology department 46 minutes later. The attending...

Transvaginal ultrasound plays a pivotal role in the management of non-pregnant women with abnormal vaginal bleeding. No other imaging technique has a role in the triage of these women. In women with postmenopausal bleeding, ultrasound is used to categorise women as at low or high risk of endometrial cancer, and the result of the ultrasound examination is the basis for further management. In wom...

Vaginal cuff dehiscence with small bowel evisceration is a serious but uncommon postoperative complication of total laparoscopic hysterectomies. The severity surgical site can range from small, partial to full-thickness wound dehiscence, manifesting acute abdominal pain, vaginal bleeding, or discharge, and often precipitated by sexual intercourse. While imaging, including pelvic ultrasound comp...

OBJECTIVE Treatment of menopausal symptoms by compounds with tissue-selective estrogen agonist/antagonist effects, often called selective estrogen receptor modulators, has been researched as an alternative to the use of estrogen therapy. These structurally diverse molecules elicit tissue-dependent responses in hormone-responsive tissues and organs, exhibiting variations in estrogenic activity i...

A rare case of parasitic myoma mimicking an adnexal mass in a previously hysterectomized, postmenopausal woman is presented. Two years after vaginal hysterectomy (due to myomas), an asymptomatic right adnexal tumor was noted during regular annual follow up. Ultrasound demonstrated a large 4-5 cm solid mass in the right adnexa, while ovarian cancer biomarkers (CA 125 and HE4) were negative. Intr...

A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. A uterine artery pseudoaneurysm ...

Dysfunctional uterine bleeding (DUB) is a common presentation in the emergency department and has a wide differential. Most presentations of DUB are in hemodynamically stable patients and can be evaluated as an outpatient. Uterine arteriovenous malformation (AVM) is one presentation that can result in a life-threatening medical emergency with unexpected sudden and massive vaginal bleeding. We d...

Objective: To review the clinical indications and different causes of first-trimester vaginal bleeding by ultrasound. Study Design: Cross-sectional study. Setting: Department Radiology, Faisal Hospital, Faisalabad, Pakistan. Period: March 2022 to June 2022. Material & Methods: A total 150 female patients aged between 16-45 years with in first trimester (gestational age up 12 weeks) were inc...