title: Sonographically diagnosed pelvic hematomas and postcesarean febrile morbidity.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Ashkelon, Israel.
authors.forename: O
authors.initials: O
authors.lastname: Gemer
authors.forename: S
authors.initials: S
authors.lastname: Shenhav
authors.forename: S
authors.initials: S
authors.lastname: Segal
authors.forename: D
authors.initials: D
authors.lastname: Harari
authors.forename: O
authors.initials: O
authors.lastname: Segal
authors.forename: E
authors.initials: E
authors.lastname: Zohav
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005334:Fever / Q000209:etiology*; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D010388:Pelvis / Q000000981:diagnostic imaging*; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011446:Prospective Studies; D014463:Ultrasonography; D001745:Urinary Bladder Diseases / Q000150:complications / Q000000981:diagnostic imaging