Sunday, September 23, 2012

Quiz- a case of metrorrhagia in adolescent:

This 15 year old female adolescent has metrorrhagia (irregular menses). What are your findings based on these ultrasound images? Fig-1 and 2: B- mode ultrasound images-sagittal section of the uterus:

 Fig-3: Color Doppler image of the uterus:

Fig-4:Ultrasound images of the ovaries:
Answer: these images suggest endometrial hyperplasia due to unopposed estrogenic activity.