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1/2. Uterine gas vs. vessel calcification. A case report.

    BACKGROUND: Pelvic ultrasound plays a significant role in the diagnosis of uterine abnormalities; however, occasionally the radiologic findings may be misleading. CASE: A case of suspected uterine vessel calcification was detected on ultrasound in a patient hospitalized with pelvic inflammatory disease that was originally interpreted as uterine gas. The lack of change over serial ultrasound scans in conjunction with the patient's benign clinical course led to reassessment of the initial impression; the findings were then attributed to uterine vessel calcification. CONCLUSION: Uterine vessel calcification in a polysubstance abuser may be a manifestation of the known atherosclerotic cardiovascular complications of cocaine. Although ultrasound findings may be misleading, clinical judgment is essential to rule out clostridial endomyometritis.
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keywords = vessel
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2/2. Giant-cell arteritis of the uterus and adnexa.

    The case history and pathological findings in an excisional biopsy are described of a sixth example of giant-cell arteritis affecting the female internal genitalia. Histologically, giant-cell arteritis in this location tends to focus on the outer layers of the blood vessel, and it is thought that this is due to the "senile" elastosis of the adventitia which occurs so commonly in blood vessels in this situation.
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keywords = vessel
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