Preeti Arora MBBS, Presenter: Nothing to Disclose

Tanzilah Afzal Barrow MBBCh, Abstract Co-Author: Nothing to Disclose

Marwa Gafar Mohamed Elsayed MBBS, Abstract Co-Author: Nothing to Disclose

Sathi Anandan Sukumar MD, Abstract Co-Author: Nothing to Disclose

1. Illustrate the importance of peritoneal anatomy & pattern recognition. 2. Demonstrate the wide range of, common & uncommon, gastrointestinal pathologies presenting with gynaecological symptoms. 3.. Illustrate how careful interpretation of the imaging findings with clinical history can aid timely correct diagnosis & appropriate therapy initiation. 4. Highlight potential pitfalls.

1. Etiology of common & uncommon gastrointestinal pathology which may present with gynaecological symptoms. 2. Review main learning points for gynaecological radiologists. Case examples to include MIMICS of: • Cervical Malignancy (appendicular mucinous tumour, rectosigmoid cancer perforating into the vagina) • Ovarian Mass (spigelian hernia, Krukenberg tumours from GI malignancy) • Ovarian Cyst (sigmoid mesenteric cyst, appendicular mucoele) • Peritoneal Ovarian Metastases (stomach, pancreas & lower GI cancers) • Vulval Malignancy (anal carcinoma) • Vaginal Discharge (colovaginal fistula & pyometra secondary to diverticular abscess/malignancy) At the end of this exhibit the viewer should understanding that locating the lesion epicentre & understanding the pattern of peritoneal spread aids identification of cases in which underlying GI pathology accounts for the presenting gynaecological symptoms.

http://abstract.rsna.org/uploads/2014/14015020/14015020_inzl.pdf

Arora, P, Barrow, T, Elsayed, M, Sukumar, S, A Lesson Well Remembered: Gastrointestinal Pathology Presenting to the Gynaecologist.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015020.html