MR appearance of uterine dehiscence in the post-cesarean section patient

Catherine Maldjian, Barton Milestone, Mitchell Schnall, Robert Smith

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Purpose: CT has been shown to be unreliable for detecting uterine dehiscence in the postoperative period after cesarean section (c-section). The purpose of this investigation is to describe the MR appearance of uterine dehiscence in this setting and identify features that distinguish complete from partial dehiscence. Method: Over an 82 month period, all charts and MR reports of patients that underwent MRI of the pelvis after c-section were reviewed for uterine dehiscence. Altogether, 55 patients were imaged. Positive cases for dehiscence were retrospectively reviewed by two radiologists. Imaging criteria for complete dehiscence consisted of transmural disruption. Criteria for partial dehiscence consisted of disruption of the endometrial and/or serosal layer, without transmural extension. Results: On MRI, five patients demonstrated abnormalities suggestive of incisional dehiscence. Based on these imaging criteria, two of these showed complete dehiscence that was proven at surgery and three showed findings of partial dehiscence. The optimal imaging plane was perpendicular to the incision. Conclusion: MR features may be utilized to identify total uterine dehiscence and may be more effective than CT.

Original languageEnglish (US)
Pages (from-to)738-741
Number of pages4
JournalJournal of computer assisted tomography
Volume22
Issue number5
DOIs
StatePublished - 1998
Externally publishedYes

Keywords

  • Cesarean section
  • Magnetic resonance imaging
  • Surgery, complications
  • Uterus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint

Dive into the research topics of 'MR appearance of uterine dehiscence in the post-cesarean section patient'. Together they form a unique fingerprint.

Cite this