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A female with an acute onset of severe pain in the lower abdomen

Dr. Serghei Puiu, Dr, PhD

Department of Radiology and Imaging, State University of Medicine and Pharmacy “Nicoale Testemitanu”, Chisinau, Republic of Moldova

Corresponding author: Serghei Puiu
Email: puiusv@yahoo.com

Clinical History:

A 47-year-old lady was referred to our department for a second opinion before surgery regarding an ovarian mass suspect of an ovarian tumour. She had an acute onset of severe pain in the lower right abdominal quadrant one week previously, which disappeared spontaneously. When she presented in our department, she had no pain or fever. Blood tests, including tumour markers, were normal.

Transabdominal and transvaginal ultrasound scans were performed. They showed an enlarged, but well-defined right ovary, appearing as a mass (Fig. 1-2). The stroma was heterogeneous due to edema displacing the follicles peripherally (Fig. 3). An echogenic thickened fallopian tube seemed to wrap the enlarged ovary (Fig. 4 a-c). The ovarian arterial and venous flow was preserved (Fig. 5 a-b). A small fluid collection in the Douglas pouch and around the ovary was seen. There was a slight pain on transducer touch.

Figure 1. Enlarged right ovary mimicking a solid adnexal mass.
Figure 2. Enlargement (up to 139 cm3) of the right ovary.
Figure 3. Peripherally located ovarian follicles, displaced by the ovarian stromal edema. Note the heterogeneous appearance of the ovarian stroma.
Figures 4 a-c. Thickened fallopian tube surrounding the enlarged ovarian mass. Small anechoic fluid collection around the ovary. Compare the swollen right tube (thick arrow) and normal appearance of the left tube (thin arrow).
Figures 5 a-b. Present ovarian arterial and venous flow, showing typical Doppler patterns.
Figure 6 a-c. Normal appearance and vascular flow of the right ovary two months later. The right fallopian tube is difficult to visualize.

View the July Case below, answer the question and then click check >

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Webinar: WFUMB ‘Ultrasound, the Best’ Cases

WFUMB Webinar: WFUMB ‘Ultrasound, the Best’ Cases

Taking place on Tuesday, September 15, 2020 2:30 PM – 4:30 PM CEST

A webinar consisting of 3 lectures & summary, with Q&A’s and feedback.

One of the important directions WFUMB is pursuing is to promote the best use of ultrasound. This webinar is a part of this campaign with a slogan of “Ultrasound, the Best’.

In this 2-hours webinar, you will see the ‘Ultrasound, the Best’ cases in the liver, gastrointestinal tract, and urinary tract. Odd Helge GILJA (Chair of WFUMB education committee), Christoph DIETRICH (Chair of WFUMB publication committee), and Seung KIM (President of WFUMB) will present cases where ultrasound played excellent problem-solving roles in the diagnosis and management of the patients, sometimes even much better than CT or MRI did. I hope this webinar may be enjoyable and useful for all participants. I believe many of you also have ‘Ultrasound, the Best’ cases. WFUMB invites you to participate in this campaign by submitting your cases through the WFUMB website. You can find submitting guidelines and slide templates at the WFUMB website.

Register for this webinar here >>

After registering, you will receive a confirmation email containing information about joining the webinar.
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Zambia WFUMB COE

Zambia WFUMB COE

by Admin

ABOUT COE ZAMBIA

Zambia officially submitted their application for COE status in June 2020. Our COE will be hosted at The Levy Mwanawasa University Teaching Hospital, located along the Great East Road in Chainama, Lusaka.

Course Director: Stefan Kafwimbi – C.V Click here

COE FUTURE COURSES

  1. 3/08/2020- 7/08/2020 Role of ultrasound in the evaluation of pelvic floor disorders (Theory & Practice)
    Location: Levy Mwanawasa University Teaching Hospital
    Speakers: Dr. Mutinta Nteeni, Dr. Foster Munsanje, Maj. Oliver Sutherland
  2. 19/10/2020- 23/10/2020 Abdominal ultrasound for Radiology Residents
    (Theory & Practice)
    Location: Levy Mwanawasa University Teaching Hospital
    Speakers: Dr. Veronica Sunkutu, Dr. Luan, Brig. Gen. Dr. Adrian Mayela
  3. 07/12/2020- 11/12/2020 Small parts ultrasound for beginners (Theory & Practice)
    Location: Ndola Teaching Hospital
    Speakers: Dr. Natalia, Dr. Veronica Sunkutu

COE ZAMBIA REPORTS

All WFUMB COE's are required to provide yearly activity reports:
Coming soon.

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Peru WFUMB COE

Peru WFUMB COE

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ABOUT COE PERU

Peru officially submitted their application for COE status in June 2020. The center is a brand-new facility named Quiros Health Institute. The Peruvian Society of Ultrasound in Medicine and Biology, SPUMB, signed an agreement with Quiros Health and its offices will be in this facility. The COE WFUMB PERU will be part of the offices. The ultrasound equipment and rooms for courses will be also utilized by COE. The designated area for education is 120 m2 (1,292 ft2).

COE PERU TEAM

Course-Director: Iván Quirós, M.D.
Course-Co-Director: Fernando Huerta, M.D.

Dr. Fernando Huerta is a Senior Radiologist dedicated to Ultrasound, current President of SPUMB. He is former Treasurer of FLAUS (2017-2019). National and International Speaker with expertise on Small parts, abdomen, MSK with more than 25 years of practice in public and private institutions.

 Dr. Huerta attended to the World Congress in Melbourne and he participated in some of the activities of COE and Education Committee.

Dr. Ivan Quiros B. is a Radiologist with 20 years of experience in the Ultrasound field.

Please see attached mini CV.

COE PAST COURSES

COE PERU REPORTS

All WFUMB COE's are required to provide yearly activity reports:
Coming soon.

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Case of the Month June – Liver Red Flags

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Liver Red Flags

Eduardo Davino Chiovatto1
Alessandra Rodrigues Silva Chiovatto1
Marcelo Violi Schelini1
Fernando Linhares Pereira1, 2
Julia Diva Zavaris1, 2
Maria Cristina Chammas1, 2
Wagner Iared1, 3

1.) Ultrasonography Improvement and Research Center Prof. Dr. Giovanni Guido Cerri, DASA, São Paulo, Brazil. 

2.) Institue of Radiology, Hospital das Clinicas School of Medicine, University of São Paulo, São Paulo, Brazil

3.) Department of Medicine – Federal University of São Paulo, São Paulo, Brazil. 

Clinical History:

A 68-year-old female from the countryside of São Paulo was referred to our clinic for a routine ultrasound examination. She had diabetes and arterial hypertension and no history of hepatitis, alcoholism or AIDS.

View the June Case below, answer the question and then click check >

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Webinar: Ultrasound in COVID-19 – global experience

WFUMB Webinar: Ultrasound in COVID-19 – global experience

Took place on Thursday 21 May 2020, 14.00 – 16.00 CEST

A webinar consisting of 4 lectures & summary, with Q&A’s and feedback.

Presenting international experts with a programme chaired by Cristina Chammas (WFUMB President Elect).

  • Jacques Abramowicz (Chicago, USA) and Jocelyne Basseal (Sydney, Australia) on Equipment Safety
  • Xin Wu Cui (Wuhan, China) on Safety for Ultrasound Users
  • Paulo Savoia (Sao Paulo, Brazil) on Basic Concepts in Lung Ultrasound
  • Fabio Piscaglia and Federico Stefanini  (Bologna, Italy) on Scanning Protocol and Findings in Covid-19

Presentations for this webinar are below …

Jacques Abramowicz (Chicago, USA) and Jocelyne Basseal (Sydney, Australia) on Equipment Safety

Paulo Savoia (Sao Paulo, Brazil)
on Basic Concepts in Lung Ultrasound

Xin Wu Cui (Wuhan, China) on Safety for Ultrasound Users

Fabio Piscaglia and Federico Stefanini (Bologna, Italy) on
Scanning Protocol and Findings in Covid-19

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Jaundice in an infant

  Rogerio Augusto Pinto da Silva, MD
 Belo Horizonte, Minas Gerais State – Brazil

 Email: ecosala1@gmail.com

Clinical History:

A 94-days-old boy referred to ultrasound imaging due to the development of jaundice.

Figure 1. Upper left: portal vein diameter (4.8 mm) and right portal vein branch diameter (3.9 mm); Lower left: hepatic artery diameter (2.5 mm) ; Lower right: Gallbladder volume (0.025 cm3); Upper right: Portal bifurcation
Figure 2. Upper left: Splenic longitudinal axis (78.9 mm); Lower left: portal bifurcation; Right: Right liver lobe 2D-SWE (Canon i600): Median 33.8 kPa (IQR 1.8) / 3.32 m/s (IQR 0.07)

View the May Case below, answer the question and then click check >

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Abdominal Aortic Aneurysm Quiz- Case 20

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Abdominal Aortic Aneurysm Quiz- Case 19

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Abdominal Aortic Aneurysm Quiz- Case 18

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Abdominal Aortic Aneurysm Quiz- Case 17

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Abdominal Aortic Aneurysm Quiz- Case 16

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Abdominal Aortic Aneurysm Quiz- Case 15

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