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REVIEW  INTEGRATED RX-ECO-TC IMAGING IN INTENSIVE CARE 

Il Giornale Italiano di Radiologia Medica 2018 Maggio-Giugno;5(3):473-82

DOI: 10.23736/S2283-8376.18.00075-X

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

ICU imaging after gynecologic surgery

Lucia MANGANARO , Serena SATTA, Federica CAPOZZA, Amanda ANTONELLI, Matteo SALDARI

Dipartimento di Scienze Radiologiche, Oncologiche e Anatomopatologiche, Sapienza Università di Roma, Roma, Italia


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The aim of this review is to propose a systematic approach in the radiological evaluation of complications which may occur after gynecological surgery. Imaging plays a crucial role in the evaluation and management of postsurgical complications, using different modalities according to patient’s signs and symptoms and the severity of clinical presentation. Conventional transabdominal ultrasound is usually the first examination performed when an abscess or a hematoma is suspected because it is a fast, non-invasive and easily accessible examination also at the intensive care unit. However, computed tomography (CT) represents the gold standard in the diagnosis of post-surgical complications thanks to its rapid scan acquisition and the possibility of using multiphase contrast-enhanced protocols. In particular, CT provides more advantages in the detection of active bleeding, abdominal abscesses, gastrointestinal and urinary tract injuries as well as in the evaluation of thromboembolic complications.


KEY WORDS: Gynecologic surgical procedures - Postoperative complications - Ultrasonography - X-ray computed tomography - Magnetic resonance imaging

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