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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 REVIEW ARTICLE Jill Steinkeler, MD, Bobbi-Jo Coldwell, MD, and Mary A. Warner, MD ity ranged from 3.5 to 45 mm on postpartum day 1, dimin- Abstract: The ultrasound findings in the postpartum uterus will be ishing to a maximum of 21 mm on day 28, finally returning to described with a focus on differentiating normal from pathologic normal in all patients by 8 weeks postpartum (day 56). conditions. Imaging of the postpartum uterus will include a discus- Enhanced myometrial vascularity on color Doppler has sion of the normal postpartum uterus, postpartum hematomas, and been described in the postpartum period and resolves spon- retained products of conception. Clinical management and therapeu- taneously over time in most asymptomatic patients, typically tic implications based on sonographic findings will be emphasized. by 6 weeks postpartum. The site of enhanced myometrial vas- Key Words: postpartum uterus, bladder flap hematoma, cularity corresponds to the prior site of placentation. In the subfascial hematoma, retained products of conception asymptomatic postpartum patient, the finding of enhanced myometrial vascularity can be considered a normal physio- (Ultrasound Quarterly 2012;28:97Y103) logic finding and can be managed conservatively. Persistent enhanced myometrial vascularity beyond 10 weeks
Ultrasound quarterly – Wolters Kluwer Health
Published: Jun 1, 2012
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