Pelvic ultrasonography of the postpartum uterus in patients presenting to the emergency room with vaginal bleeding and pelvic pain
- Author:
Zeynep VARDAR
1
;
Carolyn S. DUPUIS
;
Alan J. GOLDSTEIN
;
Efaza SIDDIQUI
;
Baran Umut VARDAR
;
Young H. KIM
Author Information
- Publication Type:3
- From: Ultrasonography 2022;41(4):782-795
- CountryRepublic of Korea
- Language:English
- Abstract: Pelvic pain and vaginal bleeding are common symptoms in postpartum women presenting to the emergency room (ER). Pelvic ultrasonography plays a crucial role in evaluating symptomatic postpartum patients by allowing a rapid diagnosis and treatment initiation. The main goal of imaging is to distinguish between causes of pelvic pain and vaginal bleeding that may be managed conservatively and those requiring emergent intervention. This pictural essay focuses on the ultrasonographic features of common postpartum conditions for which patients may present to the ER with vaginal bleeding and pelvic pain, including retained products of conception, endometritis, uterine arteriovenous malformation, uterine artery pseudoaneurysm, ovarian vein thrombosis, bladder flap hematoma, and uterine dehiscence/rupture.