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Pelvis » Female Pelvis (Gynecology)
Post operative hematoma
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Presentation This is a 45-year old woman, status post hysterectomy- 2 weeks. An ultrasound of the pelvis was performed due to pain in the lower abdomen
 
 
 
Caption: Sagittal transabdominal image of the pelvis
Description: A complex, heterogeneous mass with ill-defined margins is seen in the pelvis at the hysterectomy site. The mass shows mixed hypo and hyperechoic areas.
 
 
 
Caption: Transverse transabdominal image of the pelvis
Description: The hypoechoic areas in the mass contain low level echoes. The probe pressure produced tenderness over this region.
 
 
 
Caption: Color Doppler of the concerned area
Description: No vascularity is demonstrated within this collection.
 
Differential Diagnosis Post-op hematoma, post-op abscess
 
Final Diagnosis Post-operative hematoma
 
Follow Up This collection was aspirated and the diagnosis confirmed. The hematoma gradually resolved.
 
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