Sonographically diagnosed pelvic hematomas and postcesarean febrile morbidity.
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.
Gemer
O
O
Department of Obstetrics and Gynecology, Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Ashkelon, Israel.
Shenhav
S
S
Segal
S
S
Harari
D
D
Segal
O
O
Zohav
E
E
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