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Pelvis » Female Pelvis (Gynecology)
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Author(s) :
Chaitali Shah, FRCR
Presentation A young woman presents with abdominal pain, fever and vaginal bleeding of one day duration. She has a past history of spontaneous abortion that occurred 5 weeks prior to her current symptoms. A suction D and C had been performed.
Caption: Sagittal transvaginal scan of the uterus
Description: The endometrium is thickened and appears hypoechoic. The endometrial cavity appears normal, with no evidence of retained products of conception. There is minimal free fluid in the pelvis. The visualized myometrium is homogenous in appearance.
Caption: Transverse transvaginal scan of the uterus
Description: The thickened and hypoechoic endometrium is visualized again. No bright reflectors are visualized within the endometrium to suggest evidence of gas forming organisms.
Caption: Transverse power Doppler scan of the uterus
Description: The endometrium shows an increase in vascularity.
Caption: Sagittal power Doppler scan of the uterus
Description: Increased endometrial vascularity is demonstrated in this image. The linear echogenic endometrial cavity is apposed and appears normal.
Differential Diagnosis Endometritis
Final Diagnosis Endometritis that responded to treatment with antibiotics
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