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Sonography of postpartum uterine inversion from acute to chronic stage
Author(s) -
Momin Asif A.,
Saifi Shenaz G. A.,
Pethani Nargis R.,
Mitha Sharifa H.
Publication year - 2009
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20535
Subject(s) - medicine , uterine inversion , complication , shock (circulatory) , inversion (geology) , postpartum period , maternal morbidity , obstetrics , uterus , surgery , pregnancy , radiology , paleontology , genetics , structural basin , biology
We report the sonographic appearance of postpartum uterine inversion progressing from acute partial to chronic stage after an 8‐week interval. The delay in diagnosis was partly due to the patient's stable clinical condition except for minor vaginal discharge and bleeding. The diagnosis of chronic inversion on the follow‐up sonographic examination prompted clinicians to undertake surgical repair. Our case shows that the prompt use of sonography during labor and in the peripartum should be sufficient to establish the diagnosis of this serious postpartum complication, which can result in shock or even death. Sonography findings can be considered characteristic and fairly accurate in this condition. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound 2009