Document Detail

Sonographically diagnosed pelvic hematomas and postcesarean febrile morbidity.
MedLine Citation:
PMID:  10390093     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the incidence of ultrasonographically-diagnosed postcesarean hematomas and correlate their presence with febrile morbidity. METHODS: Prospective study of 111 consecutive patients who had a pelvic ultrasound 4-6 days post-operatively. Ultrasonographic findings were correlated with clinical data. RESULTS: Postoperative fever was diagnosed in 28 (25%) patients. Fifteen (13.5%) women had hematomas; 10 (9%) had bladder-flap and five (4.5%) had subfascial hematomas. Only subfascial hematomas were significantly associated with post-operative fever (P = 0.01). CONCLUSIONS: Postcesarean bladder-flap hematomas are not predictive of post-operative fever. The presence of subfascial hematomas should be specifically sought in the evaluation of a febrile postcesarean patient.
O Gemer; S Shenhav; S Segal; D Harari; O Segal; E Zohav
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  65     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-09-20     Completed Date:  1999-09-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  7-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Ashkelon, Israel.
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MeSH Terms
Cesarean Section*
Fever / etiology*
Hematoma / complications,  ultrasonography*
Pelvis / ultrasonography*
Postoperative Hemorrhage / ultrasonography*
Prospective Studies
Urinary Bladder Diseases / complications,  ultrasonography

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