A Pictorial Review of Postpartum Complications

Gonzalo-Carballes, Marta; Ríos-Vives, Miguel Ángel; Fierro, Eva Castellà; Azogue, Xavier Gurí; Herrero, Susana Gispert; Rodríguez, Alberto Escudero; Rus, María Neus; Planes-Conangla, Marina; Escudero-Fernández, José Miguel; Coscojuela, Pilar

doi:10.1148/rg.2020200031

Cited by 24 publications

(32 citation statements)

References 85 publications

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“…From 1 week postpartum onward, uterine muscular vessels decrease and the uterus contracts slowly. 2 The timing of the transient cyst-like change observed in the present case coincided with a period of increased postpartum blood flow. Thus, this might reflect extravascular leakage accompanied by increased blood flow that disappears quickly in adenomyosis.…”

Section: Discussionsupporting

confidence: 56%

“…Some cases of uterine fibroids degenerate during pregnancy and the postpartum period. 2,3 However, there have been few reports of imaging findings indicative of adenomyosis degeneration during pregnancy and the postpartum period. Nakanishi et al recently reported a case of adenomyosis degeneration during pregnancy with a markedly enhanced inflammatory response and uterine tenderness without infection, where magnetic resonance imaging (MRI) clearly showed hemorrhagic degeneration in adenomyosis lesions.…”

Section: Introductionmentioning

confidence: 99%

“…It is unclear how adenomyosis is affected or histologically altered during pregnancy. Some cases of uterine fibroids degenerate during pregnancy and the postpartum period 2,3 . However, there have been few reports of imaging findings indicative of adenomyosis degeneration during pregnancy and the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum degeneration of adenomyosis with diffuse cyst‐like changes and localized hemorrhage detected by sequential magnetic resonance imaging

Ichinose

Iriyama

Sayama

et al. 2022

J of Obstet and Gynaecol

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Imaging and histological changes occurring in adenomyosis due to pregnancy are unclear. A 38-yearold nulliparous woman presented with dysmenorrhea and infertility. Pelvic magnetic resonance imaging (MRI) showed diffuse-type adenomyosis. Following pregnancy by in vitro fertilization, she was hospitalized at 23 weeks of gestation due to fetal growth restriction and subsequently diagnosed with preeclampsia. A second MRI performed due to an elevated inflammatory response at 31 weeks of gestation detected no obvious degenerative findings. An emergency cesarean section was performed at 33 weeks of gestation because of nonreassuring fetal status. On postpartum day 2, she showed uterine tenderness with a dramatically elevated inflammatory response. A third MRI showed cyst-like degenerations with hemorrhagic changes without abscess. By postpartum day 7, she was quickly relieved and discharged from the hospital. A fourth MRI at postpartum month 4 confirmed the disappearance of degenerations. This is the first report of imaging findings of early postpartum degeneration of adenomyosis.

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Section: Discussionsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

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Postpartum degeneration of adenomyosis with diffuse cyst‐like changes and localized hemorrhage detected by sequential magnetic resonance imaging

Ichinose

Iriyama

Sayama

et al. 2022

J of Obstet and Gynaecol

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“…Abdominal CT suggested free fluid collection in the pelvis, and ultrasound was remarkable, revealing a 5.2 cm× 3.0 cm × 4.2 cm complex echo density around the left ovarian area as well as a 2.0-cm deep fluid pocket. The patient was admitted on the 17 th day of June with a ruptured ovarian cyst, and surgical resection was completed with laparoscopy[ 12 , 13 ]. Once the disease is diagnosed, surgery should be performed promptly.…”

Section: Discussionmentioning

confidence: 99%

Rupture of ovarian endometriotic cyst complicated with endometriosis: A case report

Wang¹,

Jiang²

2021

WJCC

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BACKGROUND Endometriosis (EMs), an estrogen-dependent disease, refers to the appearance of mucosa-covered endometrial tissues (glandular and interstitial) growing in the uterine cavity outside the uterine myometrium. It is commonly seen in women aged 25 to 45, with an incidence of approximately 10%-15%. CASE SUMMARY A 35-year-old unmarried female who denied a history of sex with an intact hymen had multiple dysmenorrhea and pain in the left lower abdomen that recurred during menstruation. Ultrasound examination revealed a dark cystic area measuring 4.9 cm × 4.6 cm on the left side with poor light transmittance, which suggested a left endometriotic cyst. The patient was treated with pain medications (four capsules t.i.d., p.o.). After one month, computed tomography of the abdomen and pelvis revealed a low-density focus measuring approximately 38 mm in diameter, a blurred mesentery fat plane in the pelvic cavity, and pelvic effusion. Ultrasound showed a complex echo density measuring 5.2 cm × 3.0 cm × 4.2 cm in the left ovarian area and a fluid sonolucent area with a depth of 2.0 cm in the pelvic cavity. Left ovarian cystectomy, electrocautery for endometriotic lesions, myomectomy, and pelvic adhesion lysis were performed under laparoscopy. The postoperative diagnosis was left ovarian chocolate cyst rupture and EMs (stage III, ovarian type, peritoneal type). CONCLUSION Laparoscopic surgery can safely control the symptoms of EMs and effectively eradicate the disease.

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“…Its highest rate is in Brazil (43.9%) and the lowest one is in Africa (3%-5%) [1][2][3] with a reported global estimation of 15% [4]. Various indications for caesarean section include fetal malpresentation and distress, labour dystocia, multiple pregnancy, patient's, or physician's preference [5]. Despite being a safe procedure, a variety of complications, both acute and chronic, can occur.…”

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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A Pictorial Review of Postpartum Complications

Cited by 24 publications

References 85 publications

Postpartum degeneration of adenomyosis with diffuse cyst‐like changes and localized hemorrhage detected by sequential magnetic resonance imaging

Postpartum degeneration of adenomyosis with diffuse cyst‐like changes and localized hemorrhage detected by sequential magnetic resonance imaging

Rupture of ovarian endometriotic cyst complicated with endometriosis: A case report

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

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