2. Transabdominal Pelvic Ultrasound Protocol

Step 1: Obtain Sagittal/Longitudinal View of Uterus

The sagittal view of the uterus is also known as the longitudinal view on ultrasound.

  • Position the curvilinear probe with the probe indicator toward the patient’s head along the midline of the patient’s abdomen in the suprapubic area.
Sagittal-Uterus-Probe-Position Pelvic Ultrasound

Identify the following structures:

  • Bladder (use as acoustic window)
  • Uterine fundus
  • Uterine body
  • Endometrial Stripe
  • Cervix
  • Vagina
  • Posterior Cul-de-Sac (Pouch of Douglas)
  • Rectum
Uterus Labeled - Pelvic Ultrasound Gynecology
Transabdominal Pelvic Ultrasound Longitudinal View
  • You may see Nabothian cysts (small, anechoic/hypoechoic circular structures on the cervix) on ultrasound. Nabothian cysts are usually considered benign findings and can occur in about 12% of the population (Fogel 1982).
Nabothian Cyst - Pelvic Gynecology Ultrasound
Nabothian cyst near external os of cervix (arrow);

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