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Usefulness of transabdominal ultrasonography in excluding adnexal disease

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Abstract

Objectives

To investigate the final diagnoses and examine the rate of detection of normal ovaries in patients with negative results for adnexa on transabdominal ultrasonography (TAUS) using current machines.

Methods

Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were subsequently evaluated using other imaging modalities, surgical procedures, follow-up, or questionnaire data. Of these patients, 135 patients with negative results for adnexa on TAUS were included in the investigation of the final diagnoses. The rate of detection of normal ovaries on TAUS was calculated on a per-ovary basis in these patients.

Results

One hundred thirty-three (98.5 %) and two (1.5 %) patients were finally diagnosed with non-adnexal diseases and adnexitis, respectively. The rate of detection of 270 ovaries in 135 patients was 38.9 %, while that of 148 ovaries in 74 patients between 16 and 45 years of age was 66.2 % and that of 122 ovaries in 61 patients over 45 years of age was 5.7 % (P < 0.001).

Conclusions

TAUS appears to be the first step for ruling out adnexal disease in patients with lower abdominal pain. The rate of detection of normal ovaries is good in younger patients.

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Authors and Affiliations

  1. Department of Clinical Laboratory Medicine, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya, Tochigi, 321-0974, Japan

    Toru Kameda & Fukiko Kawai

  2. Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke, Japan

    Nobuyuki Taniguchi

  3. Department of Clinical Laboratory, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya, Tochigi, 321-0974, Japan

    Yasuyuki Kobori

Authors
  1. Toru Kameda
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  2. Fukiko Kawai
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  3. Nobuyuki Taniguchi
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  4. Yasuyuki Kobori
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Corresponding author

Correspondence to Toru Kameda.

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Conflict of interest

Toru Kameda, Fukiko Kawai, Nobuyuki Taniguchi, and Yasuyuki Kobori declare that they have no conflicts of interest in association with this study.

Ethical statements

The adnexa was routinely evaluated using TAUS in females with lower abdominal pain in our laboratory. Approval from our ethics committee was obtained with a waiver for the need for written informed consent.

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Kameda, T., Kawai, F., Taniguchi, N. et al. Usefulness of transabdominal ultrasonography in excluding adnexal disease. J Med Ultrasonics 43, 63–70 (2016). https://doi.org/10.1007/s10396-015-0666-9

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  • DOI: https://doi.org/10.1007/s10396-015-0666-9

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