The ovaries can be visualized using a transabdominal or transvaginal approach. Although the latter is more invasive, it provides a more detailed assessment of anatomy. As of this writing, handheld ultrasound devices offer only transabdominal probes, so this chapter covers that approach. Ovarian imaging can be helpful in the female patient with pelvic pain or vaginal bleeding, and transabdominal ultrasound can often detect abnormalities such as polycystic ovaries or hyperstimulation syndrome [1, 2]. Ovarian pathology such as enlarged ovaries and ovarian cysts also can be seen incidentally in the setting of other examinations, such as Focused Assessment with Sonography for Trauma (FAST) exams or bowel scans (Figs. 31.1, 31.2, 31.3, 31.4, and 31.5; Videos 31.1 and 31.2).
KeywordsOvary Pelvis Cyst Uterus
This video scans through a large, simple right ovarian corpus luteum cyst. This patient is also pregnant, with a gestational sac visible (MP4 374 kb)
This video scans through a large, simple left ovarian cyst . This patient is also pregnant, with an intrauterine pregnancy visible (MP4 378 kb)