Diagnostic ultrasound ( PDFDrive )

1882 PART V Pediatric Sonography
B
B
V
V
A
B
FIG. 54.18 Hydrocolpos. (A) Sagittal scan of pelvis in newborn showing large, conical, luid-illed mass representing obstructed vagina (V)
behind bladder (B). (B) Sagittal scan, angled higher than in (A), shows uterus (arrows) with cervix projecting into dilated vagina (V). B, Bladder.
(With permission from Rosenberg H. Sonography of pediatric urinary tract abnormalities. Part I. Am Urol Assoc Weekly Update Series.
1986;35:1-8. 231 )
U
BL
PELVIS
SAG
PERINEUM
SAG
B
V
V
U
A
B
FIG. 54.19 Hematometrocolpos. (A) Sagittal scan of pelvis shows dilated uterine cavity (U) illed with echogenic debris (blood). Fluid-debris
level is seen in dilated, obstructed vagina (V). BL, Bladder. (B) Perineal scan conirming the massively dilated vagina with the distal end immediately
below the skin surface. B, Bladder; U, uterus, V, vagina. (With permission from Fisher MR, Kricun ME, editors. Imaging of the pelvis. Gaithersburg,
Md: Aspen; 1989. 62 )
U
V
U
V
A
B
FIG. 54.20 Mayer-Rokitansky-Kuster-Hauser Syndrome. This 13-year-old girl had duplication of uterus and vagina, obstructed right-sided
vagina, and fenestrated vaginal septum with cyclic pelvic pain and normal menstrual periods. (A) Sagittal scan of pelvis demonstrates a normal
right uterus (U) and a distended vagina (V) illed with echogenic material that moved at real time. (B) Left-sided uterus (U) is clearly seen in the
sagittal plane, and following hand-injection of sterile water into the single introitus, the left-sided vagina (V) was demonstrated. During real-time
observation, tiny amounts of water could be seen intermittently in the right-sided vagina, suggesting the presence of a fenestrated vaginal septum.