E-ISSN 1305-3612
Emergency Radiology - Pictorial Essay
Multidetector CT appearance of the pelvis after vaginal delivery: normal appearances and abnormal acute findings
1 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.  
2 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS; Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
3 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
4 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia, Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
5 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia; Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
6 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia., Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
7 Department of Obstetrics and Gynecology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia  
8 Department of Obstetrics and Gynecology, Fondazione Policlinico Universitario A. Gemelli IRCCS;Department of Obstetrics and Gynecology, Università Cattolica del Sacro Cuore, Roma, Italia  
9 Department of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia;Department of Radiological Sciences, Università Cattolica del Sacro Cuore, Roma, Italia  
Diagn Interv Radiol ; : -

Abstract

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 be potentially 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 ultrasound (US) by themselves and eventually may request further radiological exams in doubtful cases. Radiologists may play an important role recognizing early postpartum complications and differentiating them from physiological post-operative findings. In this setting, the use of Multidetector Computed Tomography (MDCT) is increased for diagnosis of suspected postpartum complications. 

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