Sonographic and MR features of puerperal uterine inversion

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• 作者：Shruti Thakur (1)
  Sanjiv Sharma (1)
  Anupam Jhobta (1)
  Neeti Aggarwal (1)
  Charu S. Thakur (1)
  
• 关键词：Uterine inversion ; Puerperal ; Fundus ; Doppler
• 刊名：Japanese Journal of Radiology
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：32
• 期：6
• 页码：356-359
• 全文大小：
• 参考文献：1. Moulding F, Hawnaur JM. MRI of non-puerperal uterine inversion due to endometrial carcinoma. Clin Radiol. 2004;59:534-. CrossRef
  2. Rana KA, Patel PS. Complete uterine inversion: an unusual yet crucial sonographic diagnosis. J Ultrasound Med. 2009;28:1719-2.
  3. Lupovitch A, England ER, Chen R. Non-puerperal uterine inversion in association with uterine sarcoma: case report in a 26-year-old and review of the literature. Gynecol Oncol. 2005;97:938-1. CrossRef
  4. Pauleta JR, Rodrigues R, Melo MA, Graca LM. Ultrasonographic diagnosis of incomplete uterine inversion. Ultrasound Obstet Gynecol. 2010;36:260-. CrossRef
  5. Lewin JS, Bryan PJ. MR imaging of uterine inversion. J Comput Assist Tomogr. 1989;13(2):357-9. CrossRef
  
• 作者单位：Shruti Thakur (1)
  Sanjiv Sharma (1)
  Anupam Jhobta (1)
  Neeti Aggarwal (1)
  Charu S. Thakur (1)
  
  1. Department of Radiodiagnosis, Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India
  
• ISSN：1867-108X

文摘

Puerperal uterine inversion is a rare and potentially life-threatening complication of a mismanaged third stage of labour. Early diagnosis is mandatory for proper management of the patient. Complete uterine inversion is a clinical diagnosis. However, incomplete uterine inversion is difficult to identify and warrants further workup. Sonographic evaluation, although a bedside procedure, may be confusing. The conspicuity of findings is much greater on MR examination than on ultrasound. Only a few diagnostic imaging findings in uterine inversion have been described in previous reports. We present the case of a 26-year-old woman who had a full-term vaginal delivery and presented after 20?days with acute urinary retention and mild vaginal bleeding. She was diagnosed as a case of neglected subacute incomplete uterine inversion. Both greyscale and Doppler sonographic and MR features of the case are described with an emphasis on better delineation of uterine and adnexal anatomy on MR imaging.