PMC5863026_01
Abdominopelvic CT scan showed ovarian thrombophlebitis.. (ROT) Right ovarian thrombophlebitis. Portal phase of axial contrast-enhanced CT scan depicts a low attenuation thrombus expanding into the iliac portion of right ovarian vein (arrow). Neither the ovarian vein or the collateral vessels were enlarged, due to the limited extension of the thrombus. The left ovarian thrombosis is not clearly visible here.
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An abdominopelvic CT scan 24 h after embolization showed retention of intrauterine clots as well as bilateral ovarian thrombophlebitis (Fig. 1).
Transvaginal sonohysterographic evaluation shows the uterine synechiae.. (US) Uterine synechiae.. (CX) cervix.
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A progesterone test was performed because of the amenorrhea, and the uterine synechiae were confirmed by transvaginal sonohysterography performed 6 months after the PPH (General Electric, Voluson E8, USA) (Fig. 2).
Hysteroscopy shows the uterine synechiae along the right part of the uterine cavity.. (US) The uterine synechiae are located to the right and block a large part of the uterine cavity.. (LTO) Only the left tubal ostium can be observed.
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Nine months after the PPH, hysteroscopic surgery was performed with a Gynecare Versapoint electrosurgical system (Ethicon Corp, USA) (Fig. 3).