Pitfalls in sonographic imaging of the incompetent uterine cervix

Edmond Confino; Kara L. Mayden; Robert V. Giglia; Michael Vermesh; Norbert Gleicher

doi:10.3109/00016348609158394

Uterine and Pelvic Conditions · Cervical Conditions

Pitfalls in sonographic imaging of the incompetent uterine cervix

Confino E, Mayden KL, Giglia RV, Vermesh M, Gleicher N

Acta Obstetricia Et Gynecologica Scandinavica, 65(6), 593-597, 1986

DOI 10.3109/00016348609158394 PMID 3541483

Abstract

Artifacts interfering with sonographic imaging of the uterine cervix in pregnancy are described. Increasing the amount of fluid in the urinary bladder closes the cervix and alters the configuration of the lower uterine segment, while increased intra-uterine pressure results in reciprocal changes. Angulation of the transducer and manual pressure thereon distort sonographic findings. It is concluded that, contrary to recent reports in the literature, sonography cannot reliably demonstrate changes in cervical compliance during pregnancy. Vaginal examination remains the ultimate diagnostic modality for the diagnosis of the incompetent cervix, while sonography may be used as an adjunct only.

Topics

Uterine and Pelvic Conditions › Cervical Conditions › Cervical Insufficiency · Diagnostics › Ultrasound › Transvaginal Ultrasound

Edmond Confino, Kara L. Mayden, Robert V. Giglia, Michael Vermesh, Norbert Gleicher

E Confino, K Mayden, Bob Giglia, Rob Giglia, Bobby Giglia, R Giglia, Mike Vermesh, M Vermesh, N Gleicher

PMID 3541483 3541483 DOI 10.3109/00016348609158394 10.3109/00016348609158394 Confino et al. 1986, Confino 1986

Keywords

Cervix Uteri/physiopathology, Female, Humans, Pregnancy, Pressure, Prospective Studies, Transducers, Pressure, Ultrasonography, Uterine Cervical Incompetence/diagnosis

Pitfalls in sonographic imaging of the incompetent uterine cervix

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