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Diagnostic imaging for postpartum retroperitoneal hematoma

a) Transvaginal ultrasound (TVU)
b) Computed tomography (CT) scan
c) Magnetic resonance imaging (MRI)
d) X-ray

User Nautica
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1 Answer

6 votes

Final answer:

For diagnosing a postpartum retroperitoneal hematoma, a CT scan provides detailed imagery and is often used, while an MRI is preferable when avoiding radiation is a concern, and TVU is a safe, non-invasive option.

Step-by-step explanation:

For the diagnosis of a postpartum retroperitoneal hematoma, certain imaging studies are particularly useful due to their safety profile and effectiveness.

  • Transvaginal Ultrasound (TVU): This is a safe, non-invasive imaging modality often used during pregnancy as it avoids radiation.
  • Computed Tomography (CT) Scan: Provides detailed cross-sectional images of the body and can be particularly useful in acute emergency settings to diagnose hematomas.
  • Magnetic Resonance Imaging (MRI): Offers imaging without radiation, suitable for detailed views of soft tissues, making it a good choice for identifying hematomas.
  • X-ray: Generally avoided in pregnancy and postpartum conditions due to exposure to radiation and limited soft tissue detail.

Considering these options, a CT scan is considered a highly effective option for diagnosing retroperitoneal hematomas due to its detailed imagery, but an MRI could be preferable if there are concerns about radiation exposure, and TVU is also a safe and non-invasive alternative.

Therefore, the correct answer is option b) Computed tomography (CT) scan.