Endometritis || Ultrasound || Case 354

Endometritis || Ultrasound || Case 354

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Clinical Features:
A 27-year-old female patient came with lower abdominal pain, pervaginal bleeding & H/o induced abortion.
Two weeks later, patient again came with
- Severe lower abdominal pain
- Foul smelling pervaginal discharge & bleeding
- High fever with chills & rigor

Ultrasound Features:
- Endometrium is thickened & hypoechoic with increased vascularity on color Doppler.
- Endometrial cavity is filled with echogenic foci casting comet tail artifacts & dirty shadows indicating air.
- No retained product could be seen separately.

Remember:
The most common cause of hypoechoic endometrial thickening is endometritis.

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