congenital abnormalities Flashcards
3 abnormalities
arested development
failure of fusion
failure of resorption
arrested development leads to
unicornuate unicollis
what happens in failure of fusion
mullarian ducts fail to fuse
difference between didelphsys and bicornuate bicollis
didelphsys is two seperat uterus and cervix
most common failure of fusion
bicornuate
bicornuate pregnancy issues
growth restrictions and c section
what happens in failure of reabsorption
median septum does not get resorbed
most common mullerian duct anomoly
septate uterus
septate uertus pregnancy issue
spontaneous abortion
how to solve septated uterus
non invasive laser
difference in appearance of fusion vs absorption
absorption has continuous myometrium between endometriums
what phase is best for seeing uterine abnormality
secretory
Diethylstilbestrol (DES) was associated with
T shaped uterine cavity
another name for fibroid
leiomyoma
fibroid is
benign solif tumor of uterus
fibroid made of
smooth muscle cells + fibrous connective tissue
most common neoplasm of uterus
fibroid
fibroids more common in _____ women
black
most common cause of enlargement of non pregnant uterus
fibroid
what happens to fibroids during menopause
decrease in size -> estrogen dependent, become calcified
2 symptoms of fibroids
pain and bleeding
3 classifications of fibroid
intramural, submucosal , subserosal
most common fibroid classification
intramural
intramural is positioned where
completely surrounded by myometrium
submucosal is where
projecting into uterine cavity, displacing endo
subserosal is where
projecting outward from myometrium
subserosal can project out between
layers of broad ligament
problem with cervical fibroid
difficulty giving birth
sono appeaance of fibroid
hypo, heterogenous w area of attenuation
what do we do for measure if there are multiple
measure the 3 largest/ the ones in endo are more important if there is bleeding
complications of fibroid
outgrow blood suply, ischemia, necrotic, torsion of pedunctulated
what is better for assesing large fibroids
transabdo
3 treatments of fibroid
uterine artery embolization
surgical treatment (hysterectomy)
medical treatment
