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Infectious Diseases in Obstetrics and Gynecology
Volume 1, Issue 6, Pages 293-297
Gynecological Case Report

Ultrasound Guidance for Vaginal Drainage of Postoperative Pelvic Hematoma: A Case Report

Department of Gynecology and Obstetrics, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Kansas City, KS 66160-7316, USA

Received 18 October 1993; Accepted 4 February 1994

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background: Postoperative pelvic fluid collection is almost a universal consequence of gynecologic surgery. At one end of the spectrum are minimal collections of peritoneal fluid or blood that are clinically inconsequential. At the other end are hematomas and abscesses requiring active intervention for the patient to recover.

Case: This case report describes a symptomatic vaginal vault hematoma occurring after vaginal hysterectomy. Ultrasonography was used to accurately identify the hematoma and guide intraoperative drainage. The patient fully recovered without complication.

Conclusion: Accurate visual guidance of instrumentation to decompress postoperative retroperitoneal hematomas is a marked improvement over non-visual techniques utilizing palpation only. The hematoma cavity can be more easily entered and the hematoma or abscess more completely drained, expediting the recovery of the patient affected by this problem.