What is the role of CT scanning in the diagnosis of postpartum hemorrhage (PPH)?

Updated: Jan 02, 2018
  • Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Answer

In the event that ultrasonography is not diagnostic, CT is a helpful follow-up study. This may also be the first-line study when a pelvic hematoma or abscess is suspected, which may be missed with a sonogram. The traditional teaching is that pelvic CT is a less than ideal study for pelvic structures, due to artifact from the surrounding pelvic bones that reduces the image quality. However, this is generally not the case with modern multidetector CT studies. When enhanced with intravenous (I+) and intra-intestinal (O/R+...either oral or rectal contrast), CT can detail pelvic hematomas, cesarean delivery wound dehiscence, and retained placental tissue.


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