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I saw the Venetian blind sign
Sally Heil1, Ayesha Nasrullah2
1University of Missouri School of Medicine, Columbia, MO, United States.
Clinical Imaging
|December 20, 2023
Summary
The Venetian blind sign on pelvic ultrasound typically indicates adenomyosis. This distinctive pattern of alternating echogenic and hypoechoic bands is also occasionally seen with uterine fibroids.
Area of Science:
- Radiology
- Gynecologic Imaging
- Pelvic Ultrasound
Background:
- The Venetian blind sign is a specific sonographic finding on pelvic ultrasound.
- It is characterized by alternating hyperechoic and hypoechoic vertical bands.
- This appearance is reminiscent of traditional slatted window blinds.
Purpose of the Study:
- To describe the ultrasonographic features of the Venetian blind sign.
- To highlight its association with specific gynecologic pathologies.
- To aid in the differential diagnosis of uterine abnormalities.
Main Methods:
- Review of pelvic ultrasound examinations.
- Identification of cases exhibiting the Venetian blind sign.
- Correlation with histopathological findings or clinical diagnoses.
Main Results:
- The Venetian blind sign was predominantly associated with adenomyosis.
- Uterine fibroids were identified as a less common cause.
- The characteristic striped pattern is a key diagnostic feature.
Conclusions:
- The Venetian blind sign is a valuable imaging biomarker on pelvic ultrasound.
- Its presence strongly suggests adenomyosis, with uterine fibroids as a differential diagnosis.
- Recognition of this sign can improve diagnostic accuracy in gynecologic imaging.
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