SONOWORLD : Post operative hematoma

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Pelvis » Female Pelvis (Gynecology)

Post operative hematoma

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Author(s) :

Philippe Jeanty, MD, PhD

Chaitali Shah, FRCR

Presentation This is a 45-year old woman, status post hysterectomy- 2 weeks. An ultrasound of the pelvis was performed due to pain in the lower abdomen

Caption: Sagittal transabdominal image of the pelvis

Description: A complex, heterogeneous mass with ill-defined margins is seen in the pelvis at the hysterectomy site. The mass shows mixed hypo and hyperechoic areas.

Caption: Transverse transabdominal image of the pelvis

Description: The hypoechoic areas in the mass contain low level echoes. The probe pressure produced tenderness over this region.

Caption: Color Doppler of the concerned area

Description: No vascularity is demonstrated within this collection.

Differential Diagnosis Post-op hematoma, post-op abscess

Final Diagnosis Post-operative hematoma

Follow Up This collection was aspirated and the diagnosis confirmed. The hematoma gradually resolved.

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