Ectopic ovaries associated with absent uterus and pelvic kidney: CT findings

Incidental Findings During Routine Antepartum Obstetrical Sonography

The standard for performing an antepartum obstetrical sonogram primarily involves the examination of the fetus; however, both the American Institute of Ultrasound in Medicine (AIUM) and American College of Radiology (ACR) guidelines suggest the evaluation of maternal structures as well. The authors present 35 incidental findings that were discovered on routine antepartum obstetrical sonography. These include abdominal wall, gastrointestinal, reproductive, urinary, and vascular anomalies in the maternal structures. A review of the literature demonstrates that many of these findings have clinical significance, which highlights the wisdom of the AIUM and ACR guidelines, and it also stresses the importance of seeking and reporting them.

Sonographic investigation of female infants with inguinal masses

We present three cases of indirect inguinal hernias occurring in female infants aged between six weeks and two months. In each case ovarian tissue was identified sonographically within the herniated tissues. All cases presented with tender masses within the labia majora. This relatively common clinical condition should be high on the list of differential diagnoses of inguinal masses in female infants. Early recognition of an ovary decreases the risk of infarction plus the sonographic detection of ovarian tissue is diagnostic in gender differentiation of infants with ambiguous genitalia.