SONOGRAPHIC EVALUATION OF SUBCHORIONIC HEMATOMA IN EARLY PREGNANCY

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Abstract

ABSTRACT
Objective: To evaluate the intrauterine subchorionic hematoma ultrasonographically in early pregnancy in a general
obstetric population.
Methods: The study is cross sectional. The study was conducted in radiology department of Hayatabad Medical
Complex Peshawar. Duration of the study is from January 2014 to January 2015. A total of 150 patients in their early
pregnancy presented with pervaginal bleeding or abdominal pain were included in this study.
Results: Total of 150 patients in early pregnancy having pervaginal bleeding or abdominal pain/cramps were evaluated
ultrasonically.13(8.6%) patients shows subchorionic hematoma on ultrasound. 8(61.3% )patients have large hematoma
and 4( 38.46%) patients have small hematoma using 13.2cm2 as a cutoff value. 9 (69.23%) patients have subchorionic
hematoma in lower uterine segment and 4( 30.76%) patients have hematoma in upper uterine segment.
Conclusion: This study concluded that the ultrasound can detect the presence of the subchorionic hematoma in the
early gestation and may identify a population of patients at high risk for adverse outcome of pregnancy. The ultrasonic
evaluation of subchorionic hematoma is becoming more important. The detailed evaluation of subchorionic hematoma
include its size, site and echogenecity. As the larger size and lower uterine segment of subchorionic hematoma are
associated with spontaneous abortion.
Keywords: Subchorionic hemorrhage, Uterine segment, Echogenecity.
 

 

Authors: 
Ghazala Wahid
Mehreen Samad
Neelum Wahid
Mahnoor Rehman

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