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https://dspace.uzhnu.edu.ua/jspui/handle/lib/59206| Title: | Pelvic Phleboliths as a diagnostic challenges for ultrasound specialist |
| Authors: | Ustych, Olena Pushkarenko, Olga Horlenko, Olesya Pushkarenko, Viktor Устич, Олена Василівна |
| Keywords: | Pelvic phleboliths as a diagnostic challenges for ultrasound specialist |
| Issue Date: | 2022 |
| Publisher: | Abstracts from the 53rd Annual Scientific Meeting of the British Medical Ultrasound Society, 6–8 December 2022, City Hall, Cardiff, UK |
| Abstract: | Phleboliths are calcified intravenous blood clots that may result from changes in coagulation or fibrinolytic activity, from local venous damage, or a combination of these factors. They may mimic ureteric calculi, and are also encountered frequently in venous malformations. The purpose of our presentation of the clinical case is to highlight the value of ultrasound in the differential diagnosis of pelvic phleboliths.There are many cases of diagnostic errors and repeated examinations for the differential diagnosis of phleboliths and stones in the urinary tract. Transvaginal or transrectal visualisation is a highly specific method for clarification and a good alternative to X-ray, MRI and CT examination. |
| Description: | A 72-year-old woman was admitted to hospital with suspected stones in the distal left ureter. There were no significant medical conditions. History of varicose veins of the lower extremities, post thrombophlebotic syndrome, analysis of urine without changes. Transabdominal examination using a convex probe did not identify dilatation of the urinary collecting system, and urine was present in the bladder. Transvaginal examination showed both distal ureters were empty, but the pelvic venous plexus on the left contained several hyperechoic round inclusions (ring-calcified lesion) with acoustic shadowing and approximate diameters of 3 to 7 mm. Polypositional scanning and Doppler examination allowed us to reliably verify the presence of phleboliths. According to the literature, such a finding is diagnosed incidentally and does not require treatment. These lumps are more common in women aged over 40 and are associated with constipation and straining, which can damage pelvic veins, diverticulosis, varicose veins, and pregnancy. Histologically, phleboliths are composed of small blood clots in a vein that harden over time due to formation of laminated fibrous tissue and calcification. |
| Type: | Presentation |
| Publication type: | Інша текстова публікація |
| URI: | https://dspace.uzhnu.edu.ua/jspui/handle/lib/59206 |
| Appears in Collections: | Наукові публікації кафедри госпітальної терапії |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 17._Olgh_Pushkarenko_UyzbwaQ.pdf | 962.07 kB | Adobe PDF | View/Open |
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