POSTER SECTIONS Coverpage Learning objectives Background Findings and procedure details Conclusion Personal information and conflict of interest References

ECR 2024 / C-10701

Acute and chronic complications of Caesarean section - a pictorial review

Congress:

ECR 2024

Poster Number:

C-10701

Type:

Educational Exhibit

Keywords:

Emergency, Genital / Reproductive system female, CT, Ultrasound, Surgery, Acute, Obstetrics

Authors:

K. McNeil, T. Sudarshan, M. J. Szewczyk-Bieda

DOI:

10.26044/ecr2024/C-10701

DOI-Link:

https://dx.doi.org/10.26044/ecr2024/C-10701

Learning objectives

The purpose of this pictorial review is to depict the various complications associated with caesarean sections and illustrate their appearances on different imaging modalities using local cases.

Background

Caesarean section, where a baby is delivered via an incision to the abdomen, is currently the most prevalent surgical procedure among patients aged 15-59 in the UK. Globally, rates of caesarean section deliveries vary, with an average estimated rate of 21%, higher in less developed countries. This number continues to increase and is projected to reach 30% by 2030.While caesarean sections are generally considered safe, there are a range of associated complications. With the increasing frequency of caesarean sections, a corresponding rise in the incidence...

Findings and procedure details

The complications identified in this local review of caesarean section cases align with the recognised complications documented in the literature.Acute complications include injury to adjacent organs, bleeding and haemorrhage, along with the risks associated with anaesthesia – typical of acute complications seen with most surgical procedures. The organs most at risk during a caesarean section are the bladder, ureters and bowel due to their proximity to the uterus. The most common organ injury we observed was an injury to the bladder and/or ureter although many...

Conclusion

Familiarisation with the complications of caesarean sections and their imaging appearances are important for radiologists and sonographers in identification and to assist clinicians in the ongoing management of patients.

Personal information and conflict of interest

K. McNeil: Nothing to disclose T. Sudarshan: Nothing to disclose M. Szewczyk-Bieda: Nothing to disclose

References

1.Betran AP, Ye J, Moller A-B, et al. Trends and projections of caesarean section rates: global and regional estimates. BMJ Global Health 2021;6:e005671. doi: 10.1136/ bmjgh-2021-0056712.A J Fowler, T E F Abbott, J Prowle, R M Pearse, Age of patients undergoing surgery,British Journal of Surgery, Volume 106, Issue 8, July 2019, Pages 1012–1018, doi: https://doi.org/10.1002/bjs.111483.Sobhy S, Arroyo-Manzano D, Murugesu N, et al. Maternal and perinatal mortality and complications associated with caesarean section in low-oncome and middle-income countries: a systematic review and meta-analysis. The Lancet 2019,...

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