Imaging in Uncommon Pelvic Complications of Pregnancy: A Pictorial Essay
A 35-year-old female presented with fever and left flank pain 05 days after a normal vaginal delivery. Imaging evaluation by ultrasonography (Fig. 1a, b) followed by CECT abdomen (Fig. 1c, d) demonstrated left ovarian vein thrombosis. The patient improved on anticoagulation medications. Ovarian vein thrombosis should be considered a possible cause of puerperal fever. CT and MR venography are diagnostic. Prompt treatment prevents potentially fatal complications.
Case 2 A 34-year-old multigravida with emergency caesarean section at 38 weeks and Hayman stitch application to control postpartum hemorrhage, developed high-grade fever from postoperative day 07. A pelvic USG (Fig. 2a, b) and CECT abdomen (Fig. 2c, d, e) established the diagnosis of uterine infarction. Subtotal hysterectomy was performed and postoperative histopathology confirmed the findings. Uterine infarction following uterine compression sutures done to control PPH is a rare but known complication. Imaging evaluation by Doppler ultrasound and cross-sectional imaging is the key to its early diagnosis.
