Presentations

Question 1

What are the DD for larger than dates uterus?

Answer 1

• wrong dates for LMP
• multiple gestation (twins)
• GTD.
• other intrauterine pathology (eg, fibroids).

Question 2

What are the DD for a pelvic mass? What is the major thing to be differentiated on an US?

What is the common description in a pelvic mass?

Answer 2

Must differentiate ovarian vs extra-ovarian.

Ovarian:

• cyst (follicular, corpus luteum, theca lutein)
• endometrioma
• benign/malignant neoplasm
• mets: carcinoma.

Extra ovarian

A. Gynaecological

Fallopian tubes: ectopic pregnancy, fallopian tube cancer, hydosalpinx/tubo-ovarian abscess.

Uterus: Pregnancy, Endometrial cancer, Leiomyoma (pedunculated),

B. GI

• Appendix: abscess/tumour
• Large bowel: IBD, malignancy, diverticular abscess.

C. Kidneys: pelvic kidney

D. Bladder

E. Peritoneum: cyst/mets malignancy.

Descriptor: “pressure”.