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 14 publications

(4 citation statements)

References 14 publications

(95 reference statements)

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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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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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“…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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“…Pelvic MRI is the second-line tool which is supposed to confirm, correct, or complete the sonographic diagnosis [13]. Computed tomography (CT), as in most gynecological-obstetric situations, is of limited value, and the ratio of potential benefits to the burden of ionizing radiation and iodine contrast agent does not justify the use of CT except for acute complications like active arterial bleeding in case of postpartum hemorrhage [14] or other acute maternal complications ( Fig. 1) [11].…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging of the female pelvis after Cesarean section: a pictorial review

Bekiesińska‐Figatowska¹

2020

Insights Imaging

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The rate of Cesarean sections (C-sections) in Poland increased from 21.7% in 2001 to 43.85% in 2017 even though the Polish Society of Gynecologists and Obstetricians highlights the negative consequences of C-section for both mother and child and recommends to make every possible effort to reduce its percentage, following the World Health Organization recommendations. There is a long list of possible complications related to the uterine scar after C-section, including uterine scar dehiscence, uterine rupture, abdominal and pelvic adhesions, uterine synechiae, ectopic pregnancy, anomalous location of the placenta, placental invasion, and-rarely-vesicouterine or uterocutaneous fistulas. Ultrasound (US) remains the first-line modality; however, its strong operator-and equipment dependence and other limitations require further investigations in some cases. Magnetic resonance imaging (MRI) is the second-line tool which is supposed to confirm, correct, or complete the sonographic diagnosis thanks to its higher tissue resolution and bigger field of view. This article will discuss the spectrum of C-section complications in the MR image-rich form and will provide a systematic discussion of the possible pathology that can occur, showing comprehensive anatomical insight into the pelvis after C-section thanks to MRI that facilitates clinical decisions.

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

Cited by 14 publications

References 14 publications

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

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

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

Magnetic resonance imaging of the female pelvis after Cesarean section: a pictorial review

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