EURORAD ESR

Case 14233

Acute puerperal uterine inversion

Author(s)
Matos BA, Ozaki MA, Yamanari MGI, Neto MJF, Funari MBG.

Hospital Israelita Albert Einstein (São Paulo, Brazil)
Email: breno.matos@einstein.br
 
Patient
female, 38 year(s)
 
 
  • Figure 1
    Abdominal US Sagittal Image

    The "fallen uterine fundus signs": "Y-shaped uterus"; "crater-like depression" (white arrow); hypoechogenic stripes (yellow arrow); an oval and circumscribed mass (green arrow); uterine vessels (red arrow)

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 2
    Abdominal US Colour Doppler Sagittal Image

    Doppler study confirmed the uterine vessels emerging from the "crater-like depression" and circulating the mass periphery (arrow).

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 3
    Abdominal US Sagittal Image

    The "Y-shaped uterus" with the "crater-like depression” (arrow).

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 4
    Abdominal US Colour Doppler Longitudinal Image

    “Y-shaped uterus” with uterine vessels going deep into “the crater-like depression” in the apical contour of the uterus and oriented downwards and towards peripherally the mass.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 5
    Abdominal US Sagittal Image

    Bakri balloon containing 400mL of physiological saline positioned in the inferior uterus.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 6
    Abdominal US Sagittal Image

    Rounded fundal contour of the uterus (arrow) after insertion of Bakri balloon.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 7
    Transvaginal US Sagittal Image

    Bakri balloon removed with uterus showing usual puerperal morphology.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
The "fallen uterine fundus signs": "Y-shaped uterus"; "crater-like depression" (white arrow); hypoechogenic stripes (yellow arrow); an oval and circumscribed mass (green arrow); uterine vessels (red arrow)
 
Doppler study confirmed the uterine vessels emerging from the "crater-like depression" and circulating the mass periphery (arrow).
 
The "Y-shaped uterus" with the "crater-like depression” (arrow).
 
“Y-shaped uterus” with uterine vessels going deep into “the crater-like depression” in the apical contour of the uterus and oriented downwards and towards peripherally the mass.
 
Bakri balloon containing 400mL of physiological saline positioned in the inferior uterus.
 
Rounded fundal contour of the uterus (arrow) after insertion of Bakri balloon.
 
Bakri balloon removed with uterus showing usual puerperal morphology.
 
 
 
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