Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Gui, Benedetta; Danza, Francesco; Valentini, Anna Lia; Laino, Maria Elena; Caruso, Alessandro; Carducci, Brigida; Rodolfino, Elena; Devicienti, Ersilia; Bonomo, Lorenzo

doi:10.5152/dir.2016.15593

Cited by 17 publications

(7 citation statements)

References 14 publications

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“…In this case, conservative management was chosen when the rectus sheath hematoma was detected, with close monitoring of maternal vital signs, ultrasound findings of hematoma expansion, and blood tests to ensure no coagulopathy or sepsis. If conservative management of the rectus sheath hematoma had failed, selective arterial embolization would have been considered [ 18 ]. In this case, hemostasis was achieved within 24 hours after discontinuation of heparin administration, and there was no rebleeding as maternal blood tests showed no progression of anemia, and her vital signs remained stable.…”

Section: Discussionmentioning

confidence: 99%

Rectus Sheath Hematoma Triggered by Post-cesarean Anticoagulant Therapy for Intraoperative Acute Pulmonary Thromboembolism: A Case Report

Hirata,

Kawamura,

Kato

et al. 2023

Cureus

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Anticoagulant therapy is essential for the prevention or treatment of peripartum venous thromboembolism (VTE). Administration of a therapeutic dose of anticoagulant immediately after cesarean section may result in the formation of a rectus sheath hematoma. A 32-year-old Japanese woman delivered twin neonates by cesarean section at 37 +5 weeks of gestation. After the removal of the placenta, the patient suddenly complained of left anterior chest pain and dyspnea with hypotension and desaturation, requiring the administration of oxygen and vasopressors. Postoperative contrast-enhanced computed tomography (CT) revealed pulmonary embolism and massive right ovarian vein thrombosis (OVT). An inferior vena cava filter was placed and continuous intravenous heparin was started. A rectus sheath hematoma was noted on postoperative day 2 (POD 2). On POD 5, heparin administration was temporarily discontinued because of an enlarged rectus sheath hematoma. Approximately 24 hours later, the hemoglobin level recovered, and heparin administration was resumed. No further expansion of the hematoma was observed. When a rectus sheath hematoma is formed due to treatment with a therapeutic dose of anticoagulant immediately after cesarean section for peripartum VTE, temporary suspension of anticoagulant administration is reasonable to prevent further expansion of the hematoma without fatal complication.

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Section: Discussionmentioning

confidence: 99%

Rectus Sheath Hematoma Triggered by Post-cesarean Anticoagulant Therapy for Intraoperative Acute Pulmonary Thromboembolism: A Case Report

Hirata,

Kawamura,

Kato

et al. 2023

Cureus

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“…Various acute complications of caesarean section are pelvic hematomas, pelvic abscesses, uterine dehiscence or rupture, pelvic thrombophlebitis. About 14.5 % of caesarean sections result in complications [6]. Infection followed by postpartum haemorrhage is the most frequent complication.…”

Section: Problem Statement and Analysis Of The Latest Researchmentioning

confidence: 99%

Multidetector Computed Tomography Evaluation of Uncommon Acute Post-Caesarean Section Complications

et al. 2021

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Introduction. The most common major abdominal surgery in women is caesarean section. Despite being a safe procedure, a variety of complications, both acute and chronic, can occur. About 14.5% of caesarean sections result in complications. Infection followed by postpartum haemorrhage is the most frequent complication. Imaging modalities such as ultrasonography and multidetector computed tomography are often used in the evaluation of suspected uncommon post-caesarean complications. Computed tomography has been found to be a good initial modality for assessing acute postoperative complications after caesarean delivery. The objective of the research was to evaluate the imaging findings and the characteristic visual manifestations of atypical acute complications of caesarean section, other than common complications such as postpartum haemorrhage, wound infection, etc. Materials and Methods. This prospective study was carried out at the Department of Radiodiagnosis and Imaging, Government Medical College, Srinagar from June 2019 to February 2020 in collaboration with the Department of General Surgery and Gynaecology and Obstetrics of the Sher-i-Kashmir Institute of Medical Sciences. All patients with suspected complication in the immediate post-caesarean period were evaluated with contrast-enhanced multidetector computed tomography. Results. Out of 427 patients who underwent caesarean section, 25 patients were suspected of having uncommon acute complications. Out of 25 patients evaluated for suspected immediate post-caesarean complication, only 5 patients had bladder flap hematoma, 8 patients were diagnosed with uterine dehiscence, 6 patients had uterine rupture, 3 patients suffered from ureteral injury, 1 patient had gossypiboma, 2 patients developed pelvic sepsis. Conclusions. Multidetector computed tomography plays an important role in detection and confirmation of multiple acute complications after caesarean delivery and can also help in guiding the management of complications as well.

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“…US may be useful in showing pelvic effusion and hematoma, but may be inadequate to assess the extent of abnormalities. The most preferred imaging method to show the abnormal post-CS findings is computed tomography (CT) (6,7). The most important advantage of CT is that it allows for rapid evaluation of the entire pelvic region.…”

Section: Normal Imaging Appearance Of the Anterior Uterine Wallmentioning

confidence: 99%

Anterior uterine wall: normal and abnormal CT and MRI findings after cesarean section

Karaosmanoğlu

Güneş

Özmen

et al. 2018

Diagn Interv Radiol

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Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Cited by 17 publications

References 14 publications

Rectus Sheath Hematoma Triggered by Post-cesarean Anticoagulant Therapy for Intraoperative Acute Pulmonary Thromboembolism: A Case Report

Rectus Sheath Hematoma Triggered by Post-cesarean Anticoagulant Therapy for Intraoperative Acute Pulmonary Thromboembolism: A Case Report

Multidetector Computed Tomography Evaluation of Uncommon Acute Post-Caesarean Section Complications

Anterior uterine wall: normal and abnormal CT and MRI findings after cesarean section

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