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Gray-Scale and Color Doppler Sonographic Features of the Vaginal Cuff and Cervical Remnant After Hysterectomy

Marjorie W. Stein1, Alla Grishina1, Robert J. Shaw1, Jeffrey H. Roberts1, Zina J. Ricci1, Akinori Adachi2, Katherine Freeman3 and Mordecai Koenigsberg1

1 Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, 111 E 210th St., Bronx, NY 10467.
2 Department of Obstetrics and Gynecology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY 10467.
3 Department of Epidemiology and Population Health, Biostatistics Unit, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY 10467.


Figure 1
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  		Fig. 1 —41-year-old woman who underwent transabdominal hysterectomy for endometritis. Transabdominal sagittal sonogram shows hypoechoic vaginal cuff that was measured in anteroposterior dimension (between asterisks). Note echogenic central stripe representing vaginal mucosa (arrow).

 

Figure 2
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  		Fig. 2A —55-year-old woman who underwent transvaginal hysterectomy for fibroids. Transvaginal sagittal sonograms show vaginal cuff measured in anteroposterior (between asterisks) and longitudinal (between X and X) dimensions with and without compression. B = bowel.

 

Figure 3
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  		Fig. 2B —55-year-old woman who underwent transvaginal hysterectomy for fibroids. Transvaginal sagittal sonograms show vaginal cuff measured in anteroposterior (between asterisks) and longitudinal (between X and X) dimensions with and without compression. B = bowel.

 

Figure 4
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  		Fig. 3 —49-year-old woman who underwent transabdominal hysterectomy for fibroids. Transvaginal sagittal sonogram shows vaginal cuff with trace vascularity.

 

Figure 5
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  		Fig. 4 —72-year-old woman who underwent supracervical hysterectomy for fibroids. Transvaginal sagittal sonogram shows cervical remnant.

 

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