Post-Partum Uterus Evaluation: Difference between revisions
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(Created page with "=== Normal === * Enlarged uterus and endometrial thickness up to 2cm (limit decreases with increasing time since delivery) * No color doppler flow in endometrium * No intracav...") |
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=== Retained Products of Conceptions: (RPOC) === | === Retained Products of Conceptions: (RPOC) === | ||
* If endometrium <1 cm, RPOC unlikely. | * If endometrium <1 cm, RPOC unlikely. | ||
* RPOC 45% without flow | * RPOC 45% thickened without flow | ||
* RPOC > 90% with thickening and color flow | * RPOC > 90% with thickening and color flow | ||
* If flow is in endometrium this is NOT AVM/AVF; call RPOc | * If flow is in endometrium this is NOT AVM/AVF; call RPOc | ||
Latest revision as of 23:34, 28 September 2021
Normal
- Enlarged uterus and endometrial thickness up to 2cm (limit decreases with increasing time since delivery)
- No color doppler flow in endometrium
- No intracavitary mass
- No complex fluid in uterine cavity
Endometritis:
- Mostly clinical dx
- Thickened, heterogeneous endometrium
- Intracavitary fluid
- Intracavitary air (but present in 21% of normals)
- Color doppler flow in endometrium
- Uterus can appear normal.
- Most common reason for post-partum fever
Retained Products of Conceptions: (RPOC)
- If endometrium <1 cm, RPOC unlikely.
- RPOC 45% thickened without flow
- RPOC > 90% with thickening and color flow
- If flow is in endometrium this is NOT AVM/AVF; call RPOc
- AVM/F have flow isolated to myometrium
Imaging overlap with endometritis and hemorrhage from uterine atony (atony usually directly postpartum, RPOC bleeding usually later) PPV: Positive predictive value
Ref: The Sonographic and Color Doppler Features of Retained Products of Conception
Imaging the Endometrium: Disease and Normal Variants