Haematometra Haematometra Presenting as Pelvic Pain Estimated reading: 1 minute 442 views Contributors 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 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 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 Haematometra Presenting as Pelvic Pain - PreviousHaematometraNext - Haematometra Presenting as Pelvic PainEndometrial/Endometrium Published on: October 9, 2024
