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Updated: Jul 11, 2026

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
Subumbilical parietal cystic images.
Virginie Lesbats-Jacquot1, Nicolas Amoretti, Jean-Michel Cucchi
1Service de radiodiagnostic de l'Archet II, CHU de Nice, 151 rte St, Antoine de Ginestiere, B.P. 3079, F-06202, Nice Cedex 3, France. jacquotvirginie@aol.com
Three women experienced pelvic floor heaviness. Imaging revealed a urachal cyst, but prior surgery complicated diagnosis in two cases, highlighting the need for advanced imaging in complex pelvic masses.
Area of Science:
- Urology
- Radiology
- Gynecology
Background:
- Pelvic floor heaviness can indicate various pathologies.
- Urachal cysts are rare congenital anomalies arising from the embryonic urachus.
Observation:
- Three women presented with a sensation of pelvic floor heaviness.
- Initial ultrasonography suggested a midline cystic formation below the umbilicus, consistent with a urachal cyst.
Findings:
- Computed tomography (CT) and magnetic resonance imaging (MRI) provided superior topographic detail.
- Advanced imaging excluded urachal cyst diagnosis in two patients with prior abdominal surgery.
- The findings underscore the diagnostic challenges posed by post-surgical anatomical changes.
Implications:
- CT and MRI are crucial for accurate diagnosis of midline cystic masses, especially in patients with surgical histories.
- This case series emphasizes the importance of considering surgical history in interpreting pelvic imaging.
- Further investigation is warranted to elucidate the nature of the pelvic masses in the post-surgical patients.
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