Use of transvaginal color Doppler ultrasound in the diagnosis of ovarian bleeding: a report of 10 cases.
Ten patients with ovarian bleeding, who were surgically treated, had been preoperatively evaluated using transvaginal color Doppler ultrasound. The blood-flow velocity waveforms of the bleeding also were analyzed. The bleeding artery of the ovary was clearly detected in 9 of 10 (90%) patients by transvaginal color Doppler ultrasound and was later confirmed by either a laparotomy or laparoscopic surgery. Either a corpus luteum cyst or a ruptured corpus luteum was associated with the bleeding in the 9 of the 10 patients. The resistance-index value in each bleeding artery examined in the 9 cases was relatively low, ranging from 0.46 to 0.59 (mean: 0.51). Based on our findings, transvaginal color Doppler ultrasound is useful for preoperatively detecting bleeding arteries in clinically severe cases of ovarian bleeding.
Emoto
M
M
Department of Obstetrics and Gynecology, Fukuoka University School of Medicine, Japan.
Tamura
R
R
Kawarabayashi
T
T
D000328:Adult; D001783:Blood Flow Velocity / Q000502:physiology; D003338:Corpus Luteum / Q000503:physiopathology; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D010049:Ovarian Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D011673:Pulsatile Flow; D018615:Ultrasonography, Doppler, Color / Q000379:methods*; D014655:Vascular Resistance