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Use of Transvaginal Color Doppler Ultrasound in the Diagnosis of Ovarian Bleeding: A Report of 10 Cases
Author(s) -
Emoto Makoto,
Tamura Riko,
Kawarabayashi Tatsuhiko
Publication year - 1998
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1998.tb00084.x
Subject(s) - medicine , laparotomy , ovary , corpus luteum , color doppler , ultrasound , ovarian artery , radiology , blood flow , vaginal bleeding , surgery , uterine artery , ultrasonography , pregnancy , gestation , genetics , biology
Ten patients with ovarian bleeding, who were surgically treated, had been preoperatively evaluated using transvaginal color Doppler ultrasound. The blood‐flow velocity waveforms of the bleeding also were analyzed. The bleeding artery of the ovary was clearly detected in 9 of 10 (90%) patients by transvaginal color Doppler ultrasound and was later confirmed by either a laparotomy or laparoscopic surgery. Either a corpus luteum cyst or a ruptured corpus luteum was associated with the bleeding in the 9 of the 10 patients. The resistance‐index value in each bleeding artery examined in the 9 cases was relatively low, ranging from 0.46 to 0.59 (mean: 0.51). Based on our findings, transvaginal color Doppler ultrasound is useful for preoperatively detecting bleeding arteries in clinically severe cases of ovarian bleeding.