Journal of Clinical Ultrasound最新文献

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Diagnosis of Spontaneous Massive Fetomaternal Hemorrhage: A Case Report and Literature Review. 自发性胎儿大出血的诊断:1例报告及文献复习。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-08 DOI: 10.1002/jcu.24062
Martina Derme, Adele Vasta, Valentina Tibaldi, Paola Galoppi, Valentina D'Ambrosio, Daniele Di Mascio, Ilenia Mappa, Samia Ennaciri, Manuel Esposito, Valentina Demarco, Antonella Giancotti, Giuseppe Rizzo
{"title":"Diagnosis of Spontaneous Massive Fetomaternal Hemorrhage: A Case Report and Literature Review.","authors":"Martina Derme, Adele Vasta, Valentina Tibaldi, Paola Galoppi, Valentina D'Ambrosio, Daniele Di Mascio, Ilenia Mappa, Samia Ennaciri, Manuel Esposito, Valentina Demarco, Antonella Giancotti, Giuseppe Rizzo","doi":"10.1002/jcu.24062","DOIUrl":"https://doi.org/10.1002/jcu.24062","url":null,"abstract":"<p><p>Fetomaternal hemorrhage (FMH) is the passage of fetal blood through the maternal circulatory system before or during delivery. Due to the nonspecificity of clinical manifestations, FMH is rarely diagnosed. When it occurs rapidly, it could have catastrophic consequences. Decreased fetal movements and a sinusoidal cardiotocographic (CTG) for more than 30 min are characteristic findings. This paper presents a case report of a 34-year-old woman at 38 + 4 weeks with reduced fetal movements and a sinusoidal CTG. An emergency cesarean section was performed, delivering a pale newborn with a hemoglobin of 4.3 g/dL. A comprehensive review of the available literature is then reported.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of POCUS-Guided Peripheral Intravenous Access in Difficult Venous Access Patients: A Systematic Review and Meta-Analysis. pocuss引导外周静脉通路治疗静脉通路困难患者的结果:系统回顾和荟萃分析。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-07 DOI: 10.1002/jcu.24059
Hany A Zaki, Hussam Elmelliti, Benny Ponappan, Ahmed Shaban, Amira Shaban, Mohammed F Abosamak, Eman E Shaban
{"title":"Outcomes of POCUS-Guided Peripheral Intravenous Access in Difficult Venous Access Patients: A Systematic Review and Meta-Analysis.","authors":"Hany A Zaki, Hussam Elmelliti, Benny Ponappan, Ahmed Shaban, Amira Shaban, Mohammed F Abosamak, Eman E Shaban","doi":"10.1002/jcu.24059","DOIUrl":"https://doi.org/10.1002/jcu.24059","url":null,"abstract":"<p><p>Point Of Care Ultrasound (POCUS) guided peripheral intravenous (PIV) access offers a safer and more efficient alternative for patients with difficult venous access. A systematic review of 15 studies with 1485 patients, sourced from five databases, including PubMed, Cochrane Library, MEDLINE, Web of Science, and Google Scholar, showed POCUS significantly improved success rates (OR: 4.25), first-attempt success (OR: 5.31), reduced attempts (MD: -0.83), and decreased procedure time (MD: -9.75 min). Fewer complications (OR: 0.49) observed with POCUS compared to standard techniques. Statistical analyses were conducted using Review Manager, and quality was assessed with Cochrane Risk of Bias and Newcastle Ottawa tools. Findings support POCUS as a safe, time-saving procedure for improving patient outcomes.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes of Aortic Elastic Properties in Normal Fetuses During the Second Half of Pregnancy. 妊娠后半期正常胎儿主动脉弹性特性的变化。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-04 DOI: 10.1002/jcu.24029
Dan Zhou, Ran Xu, Jiawei Zhou, Yushan Liu, Shi Zeng
{"title":"Changes of Aortic Elastic Properties in Normal Fetuses During the Second Half of Pregnancy.","authors":"Dan Zhou, Ran Xu, Jiawei Zhou, Yushan Liu, Shi Zeng","doi":"10.1002/jcu.24029","DOIUrl":"https://doi.org/10.1002/jcu.24029","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the study was to observe the elastic properties of the aorta in normal fetuses by M-mode echocardiography.</p><p><strong>Methods: </strong>This was a prospective cross-sectional study performed in 402 normal fetuses during 20-37 weeks of gestation. The elastic properties of the ascending aorta, thoracic aorta, and abdominal aorta were assessed by diameter strain (DS) which was determined by M-mode echocardiography. DS was defined as 100 × (D<sub>max</sub> - D<sub>min</sub>)/D<sub>min</sub>. Correlations between DS and gestational age and combined cardiac output were assessed by linear regression analysis.</p><p><strong>Results: </strong>We successfully acquired 377 (93.8%) normal fetal measurements. DS of the ascending aorta, thoracic aorta, and abdominal aorta declined as the gestational age proceeded (b = -0.683, -0.358 and -0.263, p < 0.001), while it increased with combined cardiac output (b = 0.041, 0.03, and 0.017, p < 0.001). DS in the ascending aorta and thoracic aorta were higher than those in the abdominal aorta (p < 0.001), while there was no significant difference between the ascending aorta and thoracic aorta. The reproducibility for DS measurements by M-mode echocardiography was good.</p><p><strong>Conclusions: </strong>Our results demonstrated a decline in DS with gestational age and variable aortic strain from the proximal to distal segments in the normal fetuses. Intrauterine changes in arterial elastic properties might reflect the maturation of fetal circulation.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prediction of Coronary Artery Abnormalities Using Computed Tomography Angiography and Transthoracic Echocardiography Before Arterial Switch Operation İn Neonates With Dextro-Transposition of the Great Arteries. 动脉转换手术前使用计算机断层血管造影和经胸超声心动图预测冠状动脉异常İn新生儿右转大动脉。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-01 DOI: 10.1002/jcu.24060
Ali Nazım Güzelbağ, Serap Baş, Hatice Dilek Özcanoğlu, İbrahim Cansaran Tanıdır, Ali Can Hatemi, Erkut Öztürk
{"title":"Prediction of Coronary Artery Abnormalities Using Computed Tomography Angiography and Transthoracic Echocardiography Before Arterial Switch Operation İn Neonates With Dextro-Transposition of the Great Arteries.","authors":"Ali Nazım Güzelbağ, Serap Baş, Hatice Dilek Özcanoğlu, İbrahim Cansaran Tanıdır, Ali Can Hatemi, Erkut Öztürk","doi":"10.1002/jcu.24060","DOIUrl":"https://doi.org/10.1002/jcu.24060","url":null,"abstract":"<p><p>This study compares transthoracic echocardiography (TTE) and computed tomography angiography (CTA) in detecting coronary artery anomalies in neonates with transposition of the great arteries. CTA demonstrated higher sensitivity and specificity, with 96% accuracy. The findings suggest that combining TTE and CTA enhances preoperative coronary assessment, optimizing surgical outcomes.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Clinical Characteristics and the Role of Imaging Modalities in Uterine Sarcoma: A Single-Center Retrospective Study From Vietnam. 评估子宫肉瘤的临床特征和影像学的作用:一项来自越南的单中心回顾性研究。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-01 DOI: 10.1002/jcu.24046
Xuan Lan Nguyen, Quang Huy Huynh, Phuc Nhon Nguyen
{"title":"Assessing the Clinical Characteristics and the Role of Imaging Modalities in Uterine Sarcoma: A Single-Center Retrospective Study From Vietnam.","authors":"Xuan Lan Nguyen, Quang Huy Huynh, Phuc Nhon Nguyen","doi":"10.1002/jcu.24046","DOIUrl":"https://doi.org/10.1002/jcu.24046","url":null,"abstract":"<p><strong>Background: </strong>This study aims to describe the clinical and imaging characteristics of uterine sarcomas and the role of imaging modalities in assessing them.</p><p><strong>Materials and methods: </strong>This retrospective study enrolled all patients diagnosed with uterine sarcoma at Tu Du Hospital, Vietnam between January 2020 and December 2023. The findings of ultrasound (US) and magnetic resonance imaging (MRI) were compared to histology as the reference.</p><p><strong>Results: </strong>Among 78 patients, 46.2% of cases were menopause. Abnormal vaginal bleeding was the most common symptom. Three common types of uterine sarcoma were leiomyosarcoma (50.0%), low-grade endometrial stromal sarcoma (23.1%), and carcinosarcoma (19.2%). Some imaging features of uterine sarcomas were found including nontypical lesion of fibroid (89.7%), solitary mass (84.6%), inhomogeneous structure (76.9%), invisible endometrium (67.9%), moderate-rich vascularization on Doppler signal (57.7%), irregular border of tumor (48.7%), classification of FIGO 0 (44.9%), cystic area within tumor (42.3%), acoustic shadowing (34.6%), \"cooked\" appearance (9.0%), and calcification image in tumor (6.4%). The sensitivity of standard US, consultant US, and MRI was 56.4%, 88.4%, and 87.5%, respectively.</p><p><strong>Conclusions: </strong>Besides clinical presentations, uterine sarcomas present some specific features on US. Consultant US and MRI could be added to standard US to increase the accuracy and help in surgical decision making where applicable.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Melanoma Skin Classification Using the Hybrid Approach Residual Network-Vision Transformer for Cancer Diagnosis. 基于混合方法残差网络视觉变压器的黑色素瘤皮肤分类。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-01 DOI: 10.1002/jcu.24002
Alousseyni Toure, Ismael Adji Haman, Samir Benbakreti, Ahmed Roumane, Soumia Benbakreti, Mohamed Benouis
{"title":"Melanoma Skin Classification Using the Hybrid Approach Residual Network-Vision Transformer for Cancer Diagnosis.","authors":"Alousseyni Toure, Ismael Adji Haman, Samir Benbakreti, Ahmed Roumane, Soumia Benbakreti, Mohamed Benouis","doi":"10.1002/jcu.24002","DOIUrl":"https://doi.org/10.1002/jcu.24002","url":null,"abstract":"<p><strong>Introduction: </strong>Computer-aided diagnosis using deep neural networks allows for the analysis and processing of images or videos of different pathologies, providing valuable reference data to physicians for the diagnosis or screening of conditions such as skin cancer.</p><p><strong>Methods: </strong>In this work, we highlight the contribution of Convolutional Neural Networks, pre-trained models, and Vision Transformer architectures in the classification of skin melanoma. The experimental aspect will therefore involve the contribution of the classical CNN, as well as models inspired by this CNN, namely, Inception V3, ResNet 50, AlexNet, and EfficientNet in addition to the hybrid architecture.</p><p><strong>Results: </strong>The conducted experiments entailed the adjustment of multiple hyperparameters, leading to the development of an architecture that achieved optimal results. Additionally, employing a hybrid architecture not only facilitated the amalgamation of the strengths from two models (the top performing pretrained ResNet50 model with the Vision Transformer) but also led to enhanced accuracy. After training the dataset, the proposed models have contributed to progressively improving the results, eventually achieving a classification rate of 95.53% for the hybrid ResNet50-ViT model.</p><p><strong>Conclusion: </strong>The aim of this research is to equip clinicians with a robust tool for melanoma diagnosis by leveraging the strengths of two models within the ResNet50-ViT hybrid framework.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multimodal Imaging Diagnosis of Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa Complicated With Left Atrial Fistula. 二尖瓣-主动脉间纤维性假性动脉瘤合并左房瘘的多模态影像学诊断。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-05-01 DOI: 10.1002/jcu.24028
Mei Wu, Yafeng He, Xiaojing Ma, Juan Xia, Zhengchun Yu
{"title":"Multimodal Imaging Diagnosis of Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa Complicated With Left Atrial Fistula.","authors":"Mei Wu, Yafeng He, Xiaojing Ma, Juan Xia, Zhengchun Yu","doi":"10.1002/jcu.24028","DOIUrl":"https://doi.org/10.1002/jcu.24028","url":null,"abstract":"<p><p>Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is considered exceedingly rare. The mitral-aortic intervalvular fibrosa is an avascular fibrous structure between the anterior mitral leaflet and the aortic annulus. We are presenting an interesting case that required multimodality imaging to establish the diagnosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contrast Enhanced Ultrasound: A Quantitative Ultrasound Imaging Mode for the Differential Diagnosis of Benign and Malignant Thyroid Nodules. 超声造影增强:定量超声成像模式鉴别诊断良恶性甲状腺结节。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-04-29 DOI: 10.1002/jcu.24030
Jia Zhan, Fang Li, Ji Ma, Xin Li, Long Liu, Rong Wu
{"title":"Contrast Enhanced Ultrasound: A Quantitative Ultrasound Imaging Mode for the Differential Diagnosis of Benign and Malignant Thyroid Nodules.","authors":"Jia Zhan, Fang Li, Ji Ma, Xin Li, Long Liu, Rong Wu","doi":"10.1002/jcu.24030","DOIUrl":"https://doi.org/10.1002/jcu.24030","url":null,"abstract":"<p><strong>Objective: </strong>To compare the qualitative contrast enhanced ultrasound (CEUS) performance with grayscale US with the American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) in differentiating benign and malignant thyroid nodules.</p><p><strong>Methods: </strong>In this retrospective study, 539 patients with thyroid nodules underwent grayscale US and CEUS. Four predictive models including grayscale US and CEUS sonographic features were constructed using univariable and multivariable logistic regression.</p><p><strong>Results: </strong>A total of 539 thyroid nodules with confirmed cytological results (350 malignant thyroid nodules) in 539 participants were involved. Four predictive models incorporated nodule features at ACR TI-RADS, CEUS features (enhancement degree, homogeneity and rim enhancement), quantitative CEUS features (peak intensity) and ACR TI-RADS with quantitative PI. In fine-needle aspiration biopsy or pathologic results in thyroid nodules, the highest area under the receiver operating characteristic curve (AUC) was 0.87 (95% CI: 0.84, 0.90) for the ACR TI-RADS with quantitative PI model, which had a significant difference compared to the other three models (p < 0 0.05).</p><p><strong>Conclusion: </strong>TI-RADS with quantitative PI model played a better diagnostic performance in differentiating benign and malignant thyroid nodules.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the Diagnostic Performance of Ovarian Adnexal Reporting Data System (O-RADS) With IOTA Simple Rules and ADNEX Model for Classifying Adnexal Masses: A Head-To-Head Meta-Analysis. 卵巢附件报告数据系统(O-RADS)与IOTA简单规则和ADNEX模型对附件肿块分类诊断性能的比较:一项头对头meta分析。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-04-29 DOI: 10.1002/jcu.24048
Gisela Almeida, Mar Bort, Juan Luis Alcázar
{"title":"Comparison of the Diagnostic Performance of Ovarian Adnexal Reporting Data System (O-RADS) With IOTA Simple Rules and ADNEX Model for Classifying Adnexal Masses: A Head-To-Head Meta-Analysis.","authors":"Gisela Almeida, Mar Bort, Juan Luis Alcázar","doi":"10.1002/jcu.24048","DOIUrl":"https://doi.org/10.1002/jcu.24048","url":null,"abstract":"<p><strong>Objective: </strong>To compare the diagnostic accuracy of O-RADS (Ovarian Reporting and Data System) and IOTA (international Ovarian Tumor Analysis group) simple rules (SR) and ADNEX (Assessment of Different NEoplasias in the adnexa) model for discriminating benign from malignant adnexal masses using meta-analysis.</p><p><strong>Methods: </strong>A systematic search of studies comparing O-RADS with SR and/or ADNEX in the same set of patients with an adnexal mass was performed in Medline, Web of Science, and Scopus databases from January 2020 to September 2023. Quality was assessed using the QUADAS-2 tool. Quantitative meta-analysis was performed.</p><p><strong>Results: </strong>Nine articles comprising 3924 women (3979 adnexal masses) were ultimately included after exclusions. Three studies compared O-RADS versus SR, three studies compared O-RADS versus ADNEX, and three studies compared all three methods. The risk of bias was high for patient selection in QUADAS-2 in all studies. Six studies compared O-RADS versus SR; no significant differences were found (pooled sensitivity and specificity of O-RADS and IOTA SR were 94.0% and 77.0%, and 91.0% and 87.0%, respectively. p = 0.2204). Six studies compared O-RADS versus ADNEX; no significant differences were found (pooled sensitivity and specificity of O-RADS classification system and ADNEX were 95.0% and 79.0%, and 91.0% and 88.0%, respectively. p = 0.2307).</p><p><strong>Conclusion: </strong>O-RADS classification has a similar diagnostic performance to IOTA SR and ADNEX for discriminating benign and malignant adnexal masses.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Uterine Vessel as a Cause of Postpartum Hemorrhage and Vascular Retained Products of Conception Following the Resolution of a Low-Lying Placenta. 子宫血管作为产后出血的原因和低胎盘溶解后受孕血管残留产物。
IF 1.2 4区 医学
Journal of Clinical Ultrasound Pub Date : 2025-04-29 DOI: 10.1002/jcu.24056
Munekage Yamaguchi, Saori Yoshimura, Eiji Kondoh
{"title":"The Uterine Vessel as a Cause of Postpartum Hemorrhage and Vascular Retained Products of Conception Following the Resolution of a Low-Lying Placenta.","authors":"Munekage Yamaguchi, Saori Yoshimura, Eiji Kondoh","doi":"10.1002/jcu.24056","DOIUrl":"https://doi.org/10.1002/jcu.24056","url":null,"abstract":"<p><p>The risk of postpartum hemorrhage (PPH) remains substantial even in pregnant women with a resolved low-lying placenta. Additionally, some cases of postpartum retained products of conception (RPOC) have been associated with placental complications during delivery, while the majority lack an identifiable cause or risk factor. This report highlights an abnormal vessel directed toward the lower uterine segment, identified as the cause of PPH and subsequent RPOC following the resolution of a low-lying placenta. Although a low-lying placenta observed in the second trimester resolves in most cases, it necessitates heightened vigilance regarding the risk of PPH and subsequent vascular RPOC.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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