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GU: Female Pelvis/Endocrine

E2923. Coming to Term: A Multimodality Review of Cesarean Delivery Complications

Macrito A,  Kowal D. Baystate Medical Center - UMMS, Springfield, MA

Address correspondence to A. Macrito (amacrito@gmail.com)

Background Information: Cesarean delivery is one of the most commonly performed surgeries in the United States, with over 1 million women undergoing the procedure per year. Although the procedure is considered safe, complications are reported in approximately 7–8% of cases. These range in severity from self-limiting conditions such as small hematomas to life threatening conditions including placental abruption and uterine rupture. This poster will present a spectrum of both acute and chronic Cesarean complications that can be seen on imaging.

Educational Goals/Teaching Points: Education goals include familiarizing the reader with the most common cesarean delivery surgical techniques, allowing easier recognition of normal and abnormal radiologic finding; proper initial imaging choice between ultrasound, CT, and MRI; suggested protocoling for MRI; and an image-based review of acute and chronic complications of cesarean deliveries.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: Content includes a review of the standard cesarean delivery surgical technique, with normal acute and chronic imaging appearance of cesarean delivery incisions/scars and recommended imaging modalities, with a section related to suggested MRI protocoling techniques. We provide an image-based review of acute and chronic pathology, including: bladder flap hematoma, uterine dehiscence/rupture, ovarian vein thrombophlebitis, malpositioned intrauterine devices, cesarean delivery ectopic pregnancies, and abdominal wall and scar endometriomas.

Conclusion: Cesarean deliveries are one of the most common surgeries performed in the United States. Complications can range from self-limiting hematomas to life-threatening hemorrhage or uterine rupture. These conditions can be diagnosed with a variety of modalities including ultrasound, CT, and MRI. As such, it is imperative for any radiologist who may encounter such entities to be familiar with their imaging appearances.