Subscribe to RSS
DOI: 10.1055/s-0042-1749675
The Female Genital Tract on MDCT: A Pictorial Review of Normal Anatomy and Incidental Abnormalities
Funding None.
Abstract
Purpose This article aims to review the pertinent anatomy and the incidental abnormalities involving the female genital tract on multidetector computed tomography (MDCT) through a pictorial review.
Methods The review is based on critical analysis of the existing literature as well as our experience in dealing with incidental lesions involving the female genital tract.
Results The lack of awareness regarding the normal appearances of the female pelvis on MDCT can puzzle the inexperienced radiologist and create management dilemmas for the treating clinician. It is important for radiologists to recognize normal appearances of the female genital tract on MDCT to prevent misinterpretation as pathology. The identification of incidentalomas of the female genital tract on CT can further guide whether additional workup is required or not. This pictorial review familiarizes radiologists with the normal appearances of the female genital tract on MDCT and a few common incidentalomas.
Conclusion It is imperative for a clinical radiologist to be familiar with the anatomy and common incidental lesions involving the female genital tract.
Publication History
Article published online:
15 August 2022
© 2022. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Gore RM, Newmark GM, Thakrar KH, Mehta UK, Berlin JW. Pelvic incidentalomas. Cancer Imaging 2010; 10 Spec no A: S15-S26
- 2 Yitta S, Hecht EM, Mausner EV, Bennett GL. Normal or abnormal? Demystifying uterine and cervical contrast enhancement at multidetector CT. Radiographics 2011; 31 (03) 647-661
- 3 Gulati S, Rathi V, Jain S, Bhatt S. Incidentalomas of the female genital tract on 64-slice MDCT: a clinico-radiological pictorial review. Abdom Radiol (NY) 2021; 46 (09) 4420-4431
- 4 Harvie M, Soin S, Sahu A. Don't be hysterical … a pictorial review of the uterus as seen with CT. Clin Radiol 2019; 74: e14
- 5 Rodgers SK, Kirby CL, Smith RJ, Horrow MM. Imaging after cesarean delivery: acute and chronic complications. Radiographics 2012; 32 (06) 1693-1712
- 6 Lim PS, Nazarian LN, Wechsler RJ, Kurtz AB, Parker L. The endometrium on routine contrast-enhanced CT in asymptomatic postmenopausal women: avoiding errors in interpretation. Clin Imaging 2002; 26 (05) 325-329
- 7 Walker DK, Salibian RA, Salibian AD, Belen KM, Palmer SL. Overlooked diseases of the vagina: a directed anatomic-pathologic approach for imaging assessment. Radiographics 2011; 31 (06) 1583-1598
- 8 Saksouk FA, Johnson SC. Recognition of the ovaries and ovarian origin of pelvic masses with CT. Radiographics 2004; 24 (01, Suppl 1): S133-S146
- 9 Patel MD, Ascher SM, Paspulati RM. et al. Managing incidental findings on abdominal and pelvic CT and MRI, part 1: white paper of the ACR Incidental Findings Committee II on adnexal findings. J Am Coll Radiol 2013; 10 (09) 675-681
- 10 Tonolini M, Foti PV, Costanzo V. et al. Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis-part I: corpus luteum and haemorrhagic ovarian cysts, genital causes of haemoperitoneum and adnexal torsion. Insights Imaging 2019; 10 (01) 119
- 11 Gross BH, Moss AA, Mihara K, Goldberg HI, Glazer GM. Computed tomography of gynecologic diseases. AJR Am J Roentgenol 1983; 141 (04) 765-773
- 12 Tada S, Tsukioka M, Ishii C, Tanaka H, Mizunuma K. Computed tomographic features of uterine myoma. J Comput Assist Tomogr 1981; 5 (06) 866-869
- 13 Karaosmanoğlu AD, Güneş A, Özmen MN, Akata D. Anterior uterine wall: normal and abnormal CT and MRI findings after cesarean section. Diagn Interv Radiol 2018; 24 (03) 135-138
- 14 Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics 2008; 28 (06) 1645-1659
- 15 Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001; 21 (02) 475-490
- 16 O'Neill KE, Cooper AR. The approach to ovarian dermoids in adolescents and young women. J Pediatr Adolesc Gynecol 2011; 24 (03) 176-180
- 17 Patel MD, Ascher AR, Horrow MM, Pickhardt PJ, Poder L, Goldman M, Berland LL, Pandharipande PV, Maturen KK. Management of Incidental Adnexal Findings on CT and MRI: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol 2020; Feb 17 (02) 248-254
- 18 Vascular Dilatation in the Pelvis. Identification with CT and MR Imaging | RadioGraphics. Accessed May 7, 2021 at: https://pubs.rsna.org/doi/full/10.1148/rg.241035061