role of endometrial-subendometrial blood flow distribution assessed by power doppler in the prediction of pregnancy in women with unexplained infertility undergoing intrauterine insemination

The aim of this study was to investigate the role of endometrial-subendometrial blood flow assessed by power Doppler in the prediction of pregnancy in patients with unexplained infertility undergoing intrauterine insemination in clomiphene citrate induced cycles. Prospective clinical study. University teaching hospital. One hundred thirty five patients with unexplained infertility undergoing intrauterine insemination in clomiphene citrate induced cycles were recruited. Transvaginal ultrasound was performed on the day of Human chorionic gonadotrophin [HCG] administration to determine the uterine artery resistance index [RI] and pulsatility index [PI] by pulsed Doppler and to detect the blood flow in endometrial-subendometrial area by power Doppler. Pregnancy occurred in twenty one patients [21/129] [16%]. The [RI] and [PI] were similar in pregnant group and non pregnant group. Pregnancy occurred in 31% of patients with endometrial and subendometrial flow [7/22], in 19% of patients with subendometrial flow only [13/68] and in 2.5% of patients with absent endometrial and subendometrial flow [1/39]. The detection of the blood flow in the endometrial-subendometrial area by power Doppler may be a useful marker in prediction of pregnancy in patients with unexplained infertility undergoing intrauterine insemination

Role of MDCT [Multi-Detector CT] in the evaluation of early diaphragmatic rupture injuries

Diaphragmatic injuries are not uncommon injury in the blunt abdominal trauma, having almost 0.8-8.0% of those blunt injuries. Multiple imaging tools are needed lo evaluate the presence of those diaphragmatic tears. Some diaphragmatic injuries might be undiagnosed until late, especially those patients with early conventional films revealing still apparent intact copula, or those with basal hemi-thorax opacification, where the pleural fluid cannot be delineated from the diaphragmatic outlines. Each imaging modality from conventional chest radiographs, or the ordinary CT, can miss the early appearance of those tears. With the advances in CT technology, and introduction of multi-detector CT [MDCT], dramatic reduction of motion and beam-hardening have been implemented. The marked improvement in the spatial resolution especially with the improvement in the volume Z-Axis direction offered by the MDCT with better isotropic recognition is also achieved. Also, there is the added value in detection of other multiple injuries offered by the extended field of view of the MDCT

TRUS-aided seminal vesiculography

Male infertility represents a percentage of the many other causes of infertility among couples. Obstructed male reproductive pathway till the prostatic urethra, represents one of the male causes which can be treated in confidence. Introduction of Trans-Rectal Ultrasonography [TRUS] with localization and cannulation of the seminal vesicles added much to the diagnosis of that problem, especially in obstructed cases. Fourteen patients were the material of our study. TRUS with needle insertion followed by fluoroscopic injection of the contrast to the seminal vesicles was performed. The patients attended with a mean age of 30 years, having different complains from painful ejaculation [8], perineal pain [8], infertility [7], and heamospermia [6]. After vesiculography, there were 12 patients having complete opacification of the distal ejaculatory ducts and partial opacification in 2 patients. Delayed complications in the form of epididymitis were seen in one patient