OBJECTIVE: Our objective was to compare prospectively the abilities of MR imaging, CT, and sonography to reveal puerperal septic @entity2268 in the pelvis. SUBJECTS AND METHODS: Seventy-six @entity1 with @entity221 for 5 days refractory to antimicrobial therapy underwent MR imaging, CT, and sonography. We obtained unenhanced axial CT images followed by enhanced images after the administration of an oral contrast agent for which we followed a specific protocol. Axial T1- and T2-weighted spin-echo MR images with phase reconstruction and sagittal T1-weighted MR images were obtained. Real-time sonography was performed using Doppler color flow mapping and spectral waveform analysis. RESULTS: Of the 76 @entity1 , 64 completed studies with all three techniques. @entity43 was diagnosed in 12 @entity1 . True-positive results were indicated when at least two of the three studies showed the presence of a clot; true-negative results were indicated when at least two of the three studies showed a lack of @entity715 . MR imaging and CT revealed both ovarian veins in all cases (64/64). Sonography revealed 33 (52%) of 64 right ovarian veins and 15 (23%) of 64 left ovarian veins. MR imaging (sensitivity, 92%; specificity, 100%) and CT (sensitivity, 100%; specificity 99%) were comparable in all but two cases. In one such case, MR imaging showed patency, CT revealed findings interpreted as @entity715 , and sonography showed flow in the partially occluded vein. In the second such case, bilateral @entity715 was seen on CT, but interpretations based on sonography and MR imaging were left-sided @entity715 only. Sonography correctly revealed six of the 12 cases of @entity43 . CONCLUSION: CT and MR imaging proved to be the studies of choice in the evaluation of @entity43 .

Imaging of puerperal septic XXXX : prospective comparison of MR imaging, CT, and sonography.

@entity1 :: ('9606', 'Species') :: ['women'] @entity43 :: ('MESH:D010051', 'Disease') :: ['Ovarian vein thrombosis', 'ovarian vein thrombosis'] @entity2268 :: ('MESH:D013924', 'Disease') :: ['thrombophlebitis'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity221 :: ('MESH:D005334', 'Disease') :: ['puerperal fever']
@entity2268 :: (MESH:D013924,Disease) :: ['thrombophlebitis']
