SDMS CME Credit – Enhancing Diagnostic Accuracy: Three-Dimensional Sonographic Diagnosis of Hydrosalpinx in Pelvic Inflammatory Disease

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Authors: Carlos M. Fernandez, MD, FACOG, RDMS, Elliot M. Levine, MD, FACOG, and Teresa Tam, MD, FACOG, FACS

Category: OB/GYN [OB]

Credit: 0.50 SDMS CME Credit

Objectives: After studying the article, you should be able to:

• • Define hydrosalpinx (HS).

• • Identify how three-dimensional transvaginal sonography (3DTVS) can aid in the diagnosis of HS.

• • Describe the common symptoms, causes, and sonographic findings consistent with HS.

1. Which condition is the most common cause of hydrosalpinx (HS)?

2. B. Ectopic pregnancy

3. C. Deep invasive endometriosis (DIE)

4. D. Chronic pelvic pain

According to the study, HS was defined by the presence of:

A. Complete septations in a tubular, fluid-filled structure

B. Tubular, fluid-filled structures with thin walls and incomplete septations

C. Tubular structures with complete septations

D. Tubular, hypoechoic structures with incomplete septations

What percentage of patients had a confirmed histological finding consistent with the presurgical sonographic diagnosis of HS?

A. 29%

B. 67%

C. 45%

D. 74%

According to Table 1, what percentage of patients presented with pelvic pain?

A. 36%

B. 67%

C. 21%

D. 45%

Which statement correctly describes the conclusion of the study regarding the effectiveness of 3DTVS?

A. 3DTVS is inaccurate in diagnosing hydrosalpinx in pelvic inflammatory disease.

B. 3DTVS is more expensive than MRI so should be used only when needed.

C. 3DTVS surface rendering does not improve the diagnostic accuracy of hydrosalpinx.

D. 3DTVS surface rendering can improve the diagnostic accuracy of hydrosalpinx.