Lindsey Marie Negrete, Presenter: Nothing to Disclose

Elizabeth Lazarus MD, Abstract Co-Author: Nothing to Disclose

Ana P. Lourenco MD, Abstract Co-Author: Nothing to Disclose

-Cesarean section delivery (C-section) accounts for nearly 1 in 3 births in the United States. -This surgery induces anatomical changes to the uterus that may lead to complications acutely and alterations in the imaging appearance of the uterus years later. -Our aim is to provide an understanding of the short and long-term complications affecting uterine integrity, implantation, and anatomy following C-section. - Identification of acute complications in the post-surgical uterus may affect patient care. -Familiarity with expected post-surgical anatomic changes on follow-up imaging will allow imagers to reassure patients and providers when these findings are encountered.  

1. Review spectrum of acute complications of C-section delivery: hematomas, uterine dehiscence and rupture, and pelvic thrombophlebitis. 2. Review imaging modalities: US, CT, and MRI, to diagnose acute findings. 3. Introduce cesarean scar defects (CSDs) and imaging findings that may indicate formation of CSDs. 4. Review imaging of C-section scar complications: cesarean scar ectopic pregnancy, scar dehiscence, and endometrial implants. 5. Demonstrate imaging appearance of post surgical anatomic changes on TVUS, sonohysterography, hysterosalpingography, and MRI.  

http://abstract.rsna.org/uploads/2014/14006127/14006127_6dqg.pdf

Negrete, L, Lazarus, E, Lourenco, A, Imaging the Post-Cesarean Uterus: Acute and Chronic Sequelae.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006127.html