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Updated on November 26, 2024

Haematometra Presenting as Pelvic Pain

Clinical History

A 47-year old lady presented with an acute onset of pelvic pain towards the left iliac fossa. The patient was known to be on long-term contraception and had a history of multiple caesarean sections. An ultrasound of the pelvis was requested for an initial assessment.

Case Description

Ultrasound revealed a distended endometrial cavity containing a localised hypoechoic collection measuring 39 x 23 x 28 mm which suggests haematometra with no cervical or vaginal involvement.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient had an MRI of the pelvis which confirmed the haematometra to be caused by a scar. The collection was drained surgically.

Sonograms

Transabdominal sonogram of the uterus showing the hypoechoic structure in the endometrial cavity
Transabdominal sonogram of the uterus showing the hypoechoic structure in the endometrial cavity
Transvaginal sonogram of the uterus showing the hypoechoic structure in the endometrial cavity
Transvaginal sonogram of the uterus showing the hypoechoic structure in the endometrial cavity
Transvaginal sonogram in an axial orientation showing the hypoechoic structure in the endometrial cavity
Transvaginal sonogram in an axial orientation showing the hypoechoic structure in the endometrial cavity
The distended endometrial cavity (haematometra) with its measurements
The distended endometrial cavity with its measurements
Sagittal MRI of the uterus showing the distended endometrial cavity with a possible adhesion towards the internal Os
Sagittal MRI of the uterus showing the distended endometrial cavity with a possible adhesion towards the internal Os

Published on: October 9, 2024

Author

Sonohive

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Haematometra Presenting as Pelvic Pain

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