The dramatic imaging findings and the patient's poor response to initial therapy prompted the decision for immediate hysterectomy. Pathologic results confirmed the imaging findings. Following this procedure and with continued antibiotic therapy, the patient improved markedly. Within days, she returned home to her family. Discussion Endometritis is an occassional complication of the immediate post-partum period.
Diagnosis is established on the basis of clinical, laboratory, and imaging data.
The latter diagnosis is more grave, and requires particularly aggressive antibiotic therapy and often anticoagulation. In severe cases, hysterectomy may be warranted. Twickler D., et al. Lev-Toaff AS, et al. Diagnostic Imaging in pueperal febrile morbidity.