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Pelvis » Female Pelvis (Gynecology)
Enlarged collateral vessels in abdomen and pelvis.
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Presentation This 24 year old female presented with pelvic pain and a palpable mass in both adnexal regions.
 
 
 
Caption: Sagittal Uterus
Description: This image shows a 3cm mass cephalad to the uterus. Note the anechoic spaces within the mass, the well defined walls and enhanced through transmission.
 
 
 
Caption: Sagittal left adnexa
Description: Note serpiginous anechoic spaces in the mass and areas of enhanced through transmission.
 
 
 
Caption: Sagittal liver and right kidney
Description: Several ill-defined fluid-filled masses are seen deep to the liver and caudad to the lower pole of the right kidney.
 
 
 
Caption: Color Doppler of the mass above the uterus.
Description: Color Doppler shows a complex mass with extensive internal blood flow through relatively large channels.
 
 
 
Caption: Color Doppler of the left adnexal mass.
Description: This Color Doppler image also shows extensive blood flow through abnormal-appearing channels throughout the mass.
 
 
 
Caption: Sagittal color Doppler of liver and right kidney.
Description: The anechoic spaces below the lower pole of the right kidney also exhibit blood flow within the spaces.
 
Differential Diagnosis Ovarian cyst
Ovarian neoplasm
Uterine neoplasm 
 
Final Diagnosis Extensive pelvic and abdominal collateral vessels.
 
Discussion Extensive collateral vessels were found throughout the pelvis and abdomen. The patient had a history of IVC thrombosis as an infant.
 
Case References Case References.
 
Technical Details All images obtained on an ATL 5000 scanner with C 4-2 curvilinear transducer.
 
Follow Up No change in ultrasound findings over a period of 6 months.
 
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