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LETTER TO EDITOR Table of Contents  
Ahead of print publication
Beware of artifacts images created by the acoustic enhancement of the endometria in ultrasound examination

 Imaging Medical Center, Joseph Ravoahangy Andrianavalona Hospital, Ampefiloha, Antananarivo, Madagascar

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Date of Submission21-Jan-2020
Date of Decision05-May-2020
Date of Acceptance19-May-2020
Date of Web Publication17-Aug-2020

How to cite this URL:
Andrianah GE, Ranoharison HD, Andrianjakamanana HT, Rajaonarison Ny Ony LH, Rasolohery H, Tomboravo C, Ahmad A. Beware of artifacts images created by the acoustic enhancement of the endometria in ultrasound examination. J Med Ultrasound [Epub ahead of print] [cited 2021 Jan 23]. Available from: http://www.jmuonline.org/preprintarticle.asp?id=292338

Dear Editor,

We send you this letter to describe our observation Beware of images built by the Acoustic enhancement coming from the endometrium.

We are writing this letter to report our observations during our daily practice of pelvic ultrasound in uterine, by ultrasound transabdominally. Uterine myomas are frequently found in women in reproductive age[1] and of three types; submucosal, intramural and subserosal.[2]

Our goal is to describe false images of posterior intramural myoma created by posterior echo reinforcements from the endometrium, the interest to do multiple sections on ultrasound transabdominally and endovaginal examination.

On 16 pelvic ultrasounds, performed by the ultrasound transabdominally, we found a rounded, echoic, well-limited image on the posterior face of the myometrium, without deformation of the uterine border or discharge of the uterine cavitary line. It is visible on the longitudinal and axial sections and gives a false image of myomatous nucleus. Indeed, this false image is created by the reinforcement of posterior echoes coming from the endometrium, which gives a contrast and delimiting the false lesion. The average thickness of the endometrium was 9.6 homogeneous, to which the Acoustic enhancement is major because the fluid component is important, compared to the fine endometers. The repetition of the different sections by the ultrasound transabdominally and supplemented by an endocavitary examination can remove the false image of myoma, We concluded that the practice and the repetition of the various sections on the uterus and the endovaginal examination make it possible to avoid false images of posterior intramural myomatous nucleus created by the reinforcement of the posterior echoes of the thickened endometrium.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Okolo S. Incidence, aetiology and epidemiology of uterine fibroids. Best Pract Res Clin Obstet Gynaecol 2008;22:571-88.  Back to cited text no. 1
Bajekal N, Li TC. Fibroids, infertility and pregnancy wastage. Hum Reprod Update 2000;6:614-20.  Back to cited text no. 2

Correspondence Address:
Gabrielle Emmylou Prisca Andrianah,
Imaging Medical Center, Andriamifidy Road, Joseph Ravoahangy Andrianavalona Hospital, Ampefiloha, Antananarivo 101
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Source of Support: None, Conflict of Interest: None


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    -  Andrianah GE
    -  Ranoharison HD
    -  Andrianjakamanana HT
    -  Rajaonarison Ny Ony LH
    -  Rasolohery H
    -  Tomboravo C
    -  Ahmad A


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