EURORAD ESR

Case 9132

Post partum uterine rupture following caesarean section

Author(s)
Kaduthodil M, Elliot L, Prasad D
Department of Radiology, Bradford Teaching Hospitals, Bradford, U.K.
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    Ultrasound

    Longitudinal ultrasound image. Arrow demonstrates a linear irregular echopoor tract in the lower anterior uterine wall extending from the endometrial cavity to the pelvic collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Complications;
     
     
  • Figure 2
    CT abdomen and pelvis (non contrast)

    Low attenuation (HU-12) pelvic fluid collection

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Complications; Special Focus: Abscess;
     
     
  • Figure 3
    CT pelvis axial images
     

    Linear tract extending from the endometrium to the outside (vertical arrow) at the level of the caeserian wound.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Special Focus: Fistula;

    Magnified view shows the endometrial cavity (horizontal arrow) and the defect in the right lower anterior uterine wall (vertical arrow) which is continuous with the pelvic collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 4
    CT pelvis coronal images
     

    Low attenuation tract in the anterior uterine wall extending from the endometrium to the fluid collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT;

    Magnified view showing the defect in the anterior uterine wall.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Complications;
     
     
  • Figure 5
    CT pelvis sagittal images
     

    Dehiscence tract (horizontal arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT;

    Magnified view demonstrating the endometrial cavity (vertical arrow) and the irregular low attenuation tract in the lower anterior uterine wall (horizontal arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT;

    Magnified parasagittal view with the lower endometrial cavity (vertical arrow) and the dehiscence tract (horizontal arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Complications;
     
     
Longitudinal ultrasound image. Arrow demonstrates a linear irregular echopoor tract in the lower anterior uterine wall extending from the endometrial cavity to the pelvic collection.
 
Low attenuation (HU-12) pelvic fluid collection
 
Linear tract extending from the endometrium to the outside (vertical arrow) at the level of the caeserian wound.
 
Magnified view shows the endometrial cavity (horizontal arrow) and the defect in the right lower anterior uterine wall (vertical arrow) which is continuous with the pelvic collection.
 
Low attenuation tract in the anterior uterine wall extending from the endometrium to the fluid collection.
 
Magnified view showing the defect in the anterior uterine wall.
 
Dehiscence tract (horizontal arrow).
 
Magnified view demonstrating the endometrial cavity (vertical arrow) and the irregular low attenuation tract in the lower anterior uterine wall (horizontal arrow).
 
Magnified parasagittal view with the lower endometrial cavity (vertical arrow) and the dehiscence tract (horizontal arrow).
 
 
 
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