Journals / Diagnostic and Interventional Radiology / 2019 / Cilt: 25 - Sayı: 3

Multidetector CT appearance of the pelvis after vaginal delivery: normal appearances and abnormal acute findings

Pages
210–2018
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of this article is to review the normal and abnormal post vaginal delivery MDCT aspects in order to help the clinical management by preventing misdiagnoses and tailoring the best medical treatments.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Vaginal delivery is the most commonly performed delivery in the world and accounts for nearly two-thirds of all deliveries in the United States.
📊
Key Findings & Data:It is a secure method but may be associated with some acute complications, especially in the immediate postpartum days, which can potentially be fatal for the mother.
💡
Conclusion & Impact:The aim of this article is to review the normal and abnormal post vaginal delivery MDCT aspects in order to help the clinical management by preventing misdiagnoses and tailoring the best medical treatments.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Vaginal delivery is the most commonly performed delivery in the world and accounts for nearly two-thirds of all deliveries in the United States. It is a secure method but may be associated with some acute complications, especially in the immediate postpartum days, which can potentially be fatal for the mother. The most frequent acute complications are hemorrhages/hematomas, uterine rupture, endometritis, retained product of conception (RPOC), ovarian thrombosis and HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count). A first evaluation of the clinical status of the patients is executed by the clinicians who, depending on their experience, perform ultrasonography by themselves and eventually may request further radiologic exams in doubtful cases. Radiologists may play an important role recognizing early postpartum complications and differentiating them from physiologic postoperative findings. In this setting, the use of multidetector computed tomography (MDCT) is important for diagnosis of suspected postpartum complications. The aim of this article is to review the normal and abnormal post vaginal delivery MDCT aspects in order to help the clinical management by preventing misdiagnoses and tailoring the best medical treatments.

🔖

Cite This Article

GUI, B., CORVINO, M., GRIMALDI, P. P., RUSSO, L., MARCO, M. D., CARDUCCI, B., LANZONE, A., MANFREDI, R. (2019). Multidetector CT appearance of the pelvis after vaginal delivery: normal appearances and abnormal acute findings. Diagnostic and Interventional Radiology, Cilt: 25 - Sayı: 3, 210–2018. https://ajindex.com/articles/160962

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Langer JE, Oliver ER, Lev-Toaff AS, Coleman BG. Imaging of the female pelvis through the life cycle. Radiographics 2012
  2. 1575–1597. [CrossRef] 2. Plunk M, Lee JH, Kani K, Dighe M. Imaging of postpartum complications: a multimodality review. AJR Am J Roentgenol 2013
  3. 143–154. [CrossRef] 3. Menias CO, Elsayes KM, Peterson CM, Huete A, Gratz BI, Bhalla S. CT of pregnancy-related complications. Emerg Radiol 2007
  4. 299–306. [CrossRef] 4. Ronckers CM, Erdmann CA, Land CE. Radiation and breast cancer: a review of current evidence. Breast Cancer Res 2005
  5. 21–32. [CrossRef] 5. Al-Muzrakchi A, Jawad N, Crofton M, et al. Imaging in the post-partum period: clinical challenges, normal findings, and common imaging pitfalls. Abdom Radiol 2017
  6. 1543–1555. [CrossRef] 6. Liu S, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 2007
  7. 455–460. [CrossRef] 7. Creanga AA, Berg CJ, Syverson C, Seed K, Bruce FC, Callaghan WM. Pregnancy-related mortality in the United States, 2011–2013. Obstet Gynecol 2017
  8. 5–12. [CrossRef] 8. Palatnik A, Grobman WA, Hellendag MG, Janetos TM, Gossett DR, Miller ES. Predictors of failed operative vaginal delivery in a contemporary obstetric cohort. Obstet Gynecol 2016
  9. 501–506. [CrossRef] 9. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal 2014
  10. 1–11. [CrossRef] 10. Gui B, Danza FM, Valentini AL, et al. Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings. Diagn Interv Radiol 2016
  11. 534– 541. [CrossRef] 11. Sierra A, Burrel M, Sebastia C, et al. Utility of multidetector CT in severe postpartum hemorrhage. Radiographics 2012
  12. 1463–1481. [CrossRef] 12. Yitta S, Hecht EM, Slywotzky CM, Bennett GL. Added value of multiplanar reformation in the multidetector CT evaluation of the female pelvis: a pictorial review. Radiographics 2009
  13. 1987–2005. [CrossRef] 13. Callaghan WM, Kuklina EV, Berg CJ. Trends in postpartum hemorrhage: United States, 1994– 2006. Am J Obstet Gynecol 2010
  14. e1–6. [CrossRef] 14. Kim TH, Lee HH, Kim JM, Ryu AL, Chung SH, Lee WS. Uterine artery embolization for primary postpartum hemorrhage. Iran J Reprod Med 2013
  15. 511–518. 15. Kramer MS, Berg C, Abenhaim H, et al. Incidence, risk factors, and temporal trends in severe postpartum hemorrhage. A