HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leder, R. A. Articles by Paulson, E. K. Search for Related Content PubMed PubMed Citation Articles by Leder, R. A. Articles by Paulson, E. K. Social Bookmarking                      What's this?

Vaginitis Emphysematosa

CT and Review of the Literature

¹ Both authors: Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.

View larger version (121K): [in a new window]   Fig. 1A. —29-year-old woman with acute myelogenous leukemia and vaginal bleeding. Digital scout radiograph before pelvic CT shows radiolucent clusters of gas-filled cysts along contours of vaginal wall (arrows). Pattern is similar to that identified with pneumatosis intestinalis.

View larger version (140K): [in a new window]   Fig. 1B. —29-year-old woman with acute myelogenous leukemia and vaginal bleeding. CT scan at level of vaginal fornix shows that radiolucent clusters seen in A correspond to gas-filled cysts in vaginal wall, so-called vaginitis emphysematosa (straight arrows). Note that edematous cervix (C) extends into vaginal fornix. Also note contrast medium in rectum (curved arrow).

View larger version (130K): [in a new window]   Fig. 1C. —29-year-old woman with acute myelogenous leukemia and vaginal bleeding. CT scan shows vaginitis emphysematosa in lower third of vagina (arrows).

View larger version (134K): [in a new window]   Fig. 1D. —29-year-old woman with acute myelogenous leukemia and vaginal bleeding. CT scan at inferiormost aspect of pelvis shows extension of gas to introitus with tiny punctate gas foci in labial folds (arrow).

View larger version (124K): [in a new window]   Fig. 2A. —25-year-old woman with medical history of systemic lupus erythematosus and chronic vaginitis. CT scan at vaginal fornix shows vaginitis emphysematosa. As seen in Figure 1C, edematous cervix appears as soft-tissue mass extending into vaginal fornix. Patient previously underwent internal fixation of right femoral fracture. Note gas in rectum (arrow).

View larger version (90K): [in a new window]   Fig. 2B. —25-year-old woman with medical history of systemic lupus erythematosus and chronic vaginitis. CT scan at wide window setting shows coalescent gas-filled cysts separated by thin walls. Cysts range from 2 to 10 mm.

View larger version (160K): [in a new window]   Fig. 3A. —62-year-old woman with diabetes mellitus and end-stage renal disease. CT scan through lower third of vagina after internal fixation of remote right femoral fracture shows gas in walls of vagina. Note Foley catheter coursing through urethra (arrow).

View larger version (112K): [in a new window]   Fig. 3B. —62-year-old woman with diabetes mellitus and end-stage renal disease. CT scan at wider window setting than A shows that gas is composed of multiple coalescent cysts in vaginal wall (arrows).

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati