Diagnosis
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| Vaginitis emphysematosa | |
|---|---|
| Specialty | Gynecology |
The term Vaginitis emphysematosa is related to Women's Reproductive Health and coined by Zweifel in 1877. The cases of Vaginitis emphysematosa are rare. The most important thing is that women never consult with the doctors for particularly Vaginitis emphysematosa but when they visit a doctor for some other reproductive health issue, they diagnose with the Vaginitis emphysematosa fortunately. Vaginitis emphysematosa is not common and Gynaecologists rarely know about it. Basically, this is characterised by gas-filled cysts in the mucosa of the vagina. [1] Vaginitis emphysematosa is usually a self limited cystic disorder of the vagina. It is a very rare condition and has not much specific features to arouse clinical suspicion. [2]
The term ''Vaginitis emphysematosa'' has 'vaginitis' in it but it has been observed that inflammation is generally mild and absent. [2] This is characterised by gas-filled cysts in the vaginal wall and does not imply life-threatening infection. [3]
Vaginitis emphysematosa occurs primarily in pregnant women, but there are some cases of non-pregnant women too. [4] It is a rare, benign vaginal cyst identified in 173 cases. [5] [6] [7] [8] Women that have been affected were 42 to 65 years old. [6] The cysts appear grouped but defined from one another, smooth, and can be as large as 2 cm. [5] Symptoms included: vaginal discharge, itching, sensation of pressure, appearance of nodules, and sometimes a "popping sound". [5] [9]
The cause is unknown. Histological examination showed the cysts contained pink hyaline-like material, foreign body-type giant cells in the cyst's wall, with chronic inflammatory cell fluid. The gas-filled cysts are identified with CT imaging. The gas contained in the cysts has been analysed and consists of nitrogen, oxygen, argon, carbon dioxide, and sulphur dioxide. [5] Treatment may not be required and no complications follow the resolution of the cysts. [6] It may be associated with immunosuppression, trichomonas, or Haemophilus vaginalis infection. [5] [10] Vaginitis emphysematous is characterized by gas-filled cysts in the vaginal wall. [5] [8]
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In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen. At the deep end, the cervix bulges into the vagina. The vagina allows for sexual intercourse and birth. It also channels menstrual flow, which occurs in humans and closely related primates as part of the menstrual cycle.
The female reproductive system is made up of the internal and external sex organs that function in the reproduction of new offspring. In humans, the female reproductive system is immature at birth and develops to maturity at puberty to be able to produce gametes, and to carry a fetus to full term. The internal sex organs are the vagina, uterus, fallopian tubes, and ovaries. The female reproductive tract includes the vagina, uterus, and fallopian tubes and is prone to infections. The vagina allows for sexual intercourse and childbirth, and is connected to the uterus at the cervix. The uterus or womb accommodates the embryo which develops into the fetus. The uterus also produces secretions which help the transit of sperm to the fallopian tubes, where sperm fertilize ova produced by the ovaries. The external sex organs are also known as the genitals and these are the organs of the vulva including the labia, clitoris, and vaginal opening.
The rectouterine pouch is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female.
Vaginal discharge is a mixture of liquid, cells, and bacteria that lubricate and protect the vagina. This mixture is constantly produced by the cells of the vagina and cervix, and it exits the body through the vaginal opening. The composition, amount, and quality of discharge varies between individuals and can vary throughout the menstrual cycle and throughout the stages of sexual and reproductive development. Normal vaginal discharge may have a thin, watery consistency or a thick, sticky consistency, and it may be clear or white in color. Normal vaginal discharge may be large in volume but typically does not have a strong odor, nor is it typically associated with itching or pain. While most discharge is considered physiologic or represents normal functioning of the body, some changes in discharge can reflect infection or other pathological processes. Infections that may cause changes in vaginal discharge include vaginal yeast infections, bacterial vaginosis, and sexually transmitted infections. The characteristics of abnormal vaginal discharge vary depending on the cause, but common features include a change in color, a foul odor, and associated symptoms such as itching, burning, pelvic pain, or pain during sexual intercourse.
A radiologic sign is an objective indication of some medical fact that is detected by a physician during radiologic examination with medical imaging.
Clarence Madison Dally was an American glassblower, noted as an assistant to Thomas Edison in his work on X-rays and as an early victim of radiation dermatitis and its complications.
Focal fatty liver (FFL) is localised or patchy process of lipid accumulation in the liver. It is likely to have different pathogenesis than non-alcoholic steatohepatitis which is a diffuse process. FFL may result from altered venous flow to liver, tissue hypoxia and malabsorption of lipoproteins. The condition has been increasingly recognised as sensitivity of abdominal imaging studies continues to improve. A fine needle biopsy is often performed to differentiate it from malignancy.
Carcinosis, or carcinomatosis, is disseminated cancer, forms of metastasis, whether used generally or in specific patterns of spread.
Female genital disease is a disorder of the structure or function of the female reproductive system that has a known cause and a distinctive group of symptoms, signs, or anatomical changes. The female reproductive system consists of the ovaries, fallopian tubes, uterus, vagina, and vulva. Female genital diseases can be classified by affected location or by type of disease, such as malformation, inflammation, or infection.
The American Journal of Roentgenology (AJR) is a monthly peer-reviewed journal that covers topics in radiology. It is published by the American Roentgen Ray Society (ARRS) and is based in Leesburg, VA. The current editor-in-chief is Andrew B. Rosenkrantz.
A renal cyst is a fluid collection in or on the kidney. There are several types based on the Bosniak classification. The majority are benign, simple cysts that can be monitored and not intervened upon. However, some are cancerous or are suspicious for cancer and are commonly removed in a surgical procedure called nephrectomy.
Caldwell's view is a radiographic view of skull, where X-ray plate is perpendicular to the orbitomeatal line. The rays pass from behind the head and are angled at 15-20° to the radiographic plate. It is commonly used to get better view of the ethmoid and frontal sinuses. It is named after the noted American radiologist Eugene W. Caldwell, who described it in 1907.
Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the axillary nerve is compressed at the quadrilateral space of the rotator cuff.
The aortopulmonary space is a small space between the aortic arch and the pulmonary artery. It contains the ligamentum arteriosum, the recurrent laryngeal nerve, lymph nodes, and fatty tissue. The space is bounded anteriorly by the ascending aorta, posteriorly by the descending aorta, medially by the left main bronchus, and laterally by mediastinal pleura.
The vaginal epithelium is the inner lining of the vagina consisting of multiple layers of (squamous) cells. The basal membrane provides the support for the first layer of the epithelium-the basal layer. The intermediate layers lie upon the basal layer, and the superficial layer is the outermost layer of the epithelium. Anatomists have described the epithelium as consisting of as many as 40 distinct layers. The mucus found on the epithelium is secreted by the cervix and uterus. The rugae of the epithelium create an involuted surface and result in a large surface area that covers 360 cm2. This large surface area allows the trans-epithelial absorption of some medications via the vaginal route.
Vaginal cysts are uncommon benign cysts that develop in the vaginal wall. The type of epithelial tissue lining a cyst is used to classify these growths. They can be congenital. They can present in childhood and adulthood. The most common type is the squamous inclusion cyst. It develops within vaginal tissue present at the site of an episiotomy or other vaginal surgical sites. In most instances they do not cause symptoms and present with few or no complications. A vaginal cyst can develop on the surface of the vaginal epithelium or in deeper layers. Often, they are found by the woman herself and as an incidental finding during a routine pelvic examination. Vaginal cysts can mimic other structures that protrude from the vagina such as a rectocele and cystocele. Some cysts can be distinguished visually but most will need a biopsy to determine the type. Vaginal cysts can vary in size and can grow as large as 7 cm. Other cysts can be present on the vaginal wall though mostly these can be differentiated. Vaginal cysts can often be palpated (felt) by a clinician. Vaginal cysts are one type of vaginal mass, others include cancers and tumors. The prevalence of vaginal cysts is uncertain since many go unreported but it is estimated that 1 out of 200 women have a vaginal cyst. Vaginal cysts may initially be discovered during pregnancy and childbirth. These are then treated to provide an unobstructed delivery of the infant. Growths that originate from the urethra and other tissue can present as cysts of the vagina.
Crazy paving refers to a pattern seen on computed tomography of the chest, involving lobular septal thickening with variable alveolar filling. The finding is seen in pulmonary alveolar proteinosis, and other diseases. Its name comes from its resemblance to irregular paving stones, called crazy pavings.
Empty vertebral body sign is a radiological sign used for diagnosing any injury with flexion-distraction mechanism of the vertebrae, particularly Chance fracture of the vertebrae. In Chance fracture, there is disruption and angulation superiorly or inferiorly of posterior elements of the vertebrae. As a result, the affected vertebral body is seen as radiolucent in the anterio-posterior view.
Codfish vertebra refers to the biconcave appearance of the vertebra in sagittal radiographs due to pathological changes, such as demineralisation. Codfish appearance of the vertebra is seen in several conditions such as osteoporosis, steroid or heparin therapy, Cushing syndrome, idiopathic, sickle cell disease, leukemia, Duchenne muscular dystrophy, and homo-cystinuria. Codfish vertebra sign is usually first seen in lumbar vertebrae.
Fat suppression is a technique in MRI imaging where fat signals from adipose tissues are suppressed to better visualise uptake of contrast materials of bodily tissues, reduce chemical shift artifact, and to characterise the type of lesions such as adrenal gland tumors, bone marrow infiltration, fatty tumors, and steatosis by determining the fat content of the tissues. Fat suppression can be achieved by three techniques, namely fat saturation, inversion recovery, and opposed-phase imaging.
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