Class 4 Flashcards
True or False: Congenital Anomalies of the genital system are common
False - Congenital anomalies are rare
True or False: Congenital Anomalies of the genital system have an incidence of 0.1 - 0.5
True
True or False: Congenital Anomalies of the genital system usually have NO SYMPTOMS
True
True or False: Congenital Anomalies of the genital system can mimic other pathology
True
True or False: Congenital Anomalies of the genital system occur without malformations of the urinary system 50% of the time
False - 50% OF TIME OCCUR WITH MALFORMATIONS OF URINARY SYSTEM
What are the 3 most common causes of congenital anomalies of the genital system?
- Total or partial atresia of the Mullerian Ducts
- Failure of Mullerian Ducts to fuse
- Failure of uterovaginal septum to disappear
In anomalies of the vagina, when do symptoms begin?
Puberty
What are the signs and symptoms of anomalies of the vagina?
Signs and symptoms include pelvic pain, dysmenorrhea, dyspareunia, delayed onset of menses
What causes anomalies of the vagina
CAUSE: obstruction at some level of uterus, cervix, or vagina
What is HEMATOCOLPOS?
retention of blood in vagina
What is HEMATOMETRA?
retention of menstrual blood in uterus
What is HEMATOMETROCOLPOS?
retention of menstrual blood in uterus and vagina
What is VAGINAL AGENESIS?
absent vagina
What is VAGINAL ATRESIA?
lack of vaginal development
What are the most common UTERINE ANOMALIES?
The most common uterine anomalies are septate uterus, bicornuate uterus, and didelphic uterus
True or False: Uterine anomalies may be found with vaginal anomalies
True
What are some causes of UTERINE ANOMALIES?
- Failure of septum to disappear
- Failure of ducts to fuse
- Partial fusion of ducts
What is ARCUATE UTERUS?
Slight indentation of fundus
What is UTERUS SUBSEPTUS?
Failure of septum to reabsorb completely; separation of uterine corpus
What is UTERUS BICORNIS?
Uterus has two horns (bicervical or unicervical)
What is UTERUS DIDELPHYS?
Two uteri and two cervices & vaginas
What is Diethylstibestrol Syndrome?
- Drug given pregnant mothers to prevent miscarriage
- Caused reproductive tract anomalies in the fetus
- Most common anomalies are bands in uterus, uterine wall defects, and T shaped uterus
True or False: Fallopian Tube Anomalies are common
False: Fallopian Tube Anomalies are rare
Fallopian Tube Anomalies can be?
- ABSENT
- DOUBLING ON ONE SIDE
- ATRESIA OF A PORTION (INFERTILITY OR ECTOPIC PREGNANCY)
What are possible Ovarian Anomalies?
- ABSENCE OF OVARIES (RARE)
- FALLOPIAN TUBES ALSO ABSENT
- SUPERNUMERARY OVARIES
- ACCESSORY OVARIAN TISSUE
Paraovarian Cysts are FOUND where?
In the Broad Ligament
Paraovarian Cyst ARISE from where?
Rosenmuller’s Organ
What is a HYDATID CYST OF MORGANGNI?
A type of paraovarian cyst (pedunculated)
Where are Garter’s Duct Cyst found?
They are found in the anterolateral portion of the vagina
Garter’s Duct Cysts are a REMNANT of what?
The Wolfian Duct System
US Appearance of Garter’s Duct Cyst
Appears as an Anechoic Mass in Vagina
True or False: Garter’s Duct Cyst AREN’T prone to infection
False
Congenital Anomalies in pregnancy: Anomalies tend to be obliterated on US after how many weeks of gestation?
22 weeks
True or False: In anomalies with 2 separate uteri, it is possible to get pregnant in both
True
Higher Rates of premature labor and Labor complications are found in what kind of congenital anomaly?
Congenital Anomalies in Pregnancy
What are some pitfalls of Congenital Anomalies in pregnancy US?
Sonographer misinterpretation of
- Pedunculated or subserosal fibroid
- Ovarian Mass