EURORAD ESR

Case 14854

Postpartum Rupture Of An Unscarred Uterus

Author(s)
Dr. S. Vanden Berghe 1, Dr. P. Seynaeve 2, Dr. B. Mortelé 3

1. Department of Radiology, University Hospital, Leuven, Belgium
Email: simonvdberghe@gmail.com
2, 3. Department of Radiology, AZ Groeninge Hospital, Kortrijk, Belgium

Department of Radiology, University Hospital, Leuven, Belgium
 
Patient
female, 27 year(s)
 
 
  • Figure 1
    Ultrasound

    Broad para-uterine venous plexus. Hyperreflectivity of the fatty tissue in the right iliac fossa. No free intra-abdominal fluid. No enlarged appendix.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 2
    Computed Tomography
     

    Contrast enhanced CT image in portal venous phase. Paracoronal plane in MinMIP mode. Para-uterine intermediate density material on the right in continuity with the uterus lumen and unregular uterus contours at the...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    Axial contrast enhanced CT image. Large postpartum uterus, with dilated para-uterine venous plexus on the right. Added structure on top of the right iliopsoas muscle.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 3
    Magnetic Resonance Imaging Series
     

    Coronal T2 Propeller sequence. At the base of the uterus on the right posterolateral side, there is a complete defect in the uterine wall. T2-hypo-intense haemorrhagic content spills through this defect.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    Sagittal T2 image at the midline of the uterus through the cervix. Enlarged postpartum uterus. T2-hypo-intense haemorrhagic material in the lumen of the uterus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    Sagittal T2 image through the uterus at the level of rupture. Complete defect in the uterus wall at the base of the uterus on the right posterolateral side. Haemorrhagic content spills through this defect.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    Axial T2 Propeller sequence. The T2-hypo-intense haemorrhagic content is spilled out of the uterus in the right iliac fossa and extends beyond the right iliopsoas muscle, explaining the right iliac fossa pain.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
Broad para-uterine venous plexus. Hyperreflectivity of the fatty tissue in the right iliac fossa. No free intra-abdominal fluid. No enlarged appendix.
 
Contrast enhanced CT image in portal venous phase. Paracoronal plane in MinMIP mode. Para-uterine intermediate density material on the right in continuity with the uterus lumen and unregular uterus contours at the base.
 
Axial contrast enhanced CT image. Large postpartum uterus, with dilated para-uterine venous plexus on the right. Added structure on top of the right iliopsoas muscle.
 
Coronal T2 Propeller sequence. At the base of the uterus on the right posterolateral side, there is a complete defect in the uterine wall. T2-hypo-intense haemorrhagic content spills through this defect.
 
Sagittal T2 image at the midline of the uterus through the cervix. Enlarged postpartum uterus. T2-hypo-intense haemorrhagic material in the lumen of the uterus.
 
Sagittal T2 image through the uterus at the level of rupture. Complete defect in the uterus wall at the base of the uterus on the right posterolateral side. Haemorrhagic content spills through this defect.
 
Axial T2 Propeller sequence. The T2-hypo-intense haemorrhagic content is spilled out of the uterus in the right iliac fossa and extends beyond the right iliopsoas muscle, explaining the right iliac fossa pain.
 
 
 
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