Sonographic findings in acute puerperal endometritis: The hypoechoic rim sign and endomyometrial junction indistinctness

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dc.contributor.author Gillies, R en
dc.contributor.author Ashley, L en
dc.contributor.author Bergin, Colleen en
dc.date.accessioned 2018-10-04T03:51:17Z en
dc.date.issued 2017-08 en
dc.identifier.citation AJUM: Australasian Journal of Ultrasound in Medicine 20(3):123-128 Aug 2017 en
dc.identifier.issn 1836-6864 en
dc.identifier.uri http://hdl.handle.net/2292/38877 en
dc.description.abstract Purpose To evaluate the accuracy of the sonographic subserosal hypoechoic rim sign and endomyometrial junctional indistinctness in identifying patients with acute endometritis during the puerperal period. Methods Radiologic coding identified the ultrasound scans of all patients presenting to Auckland City Hospital between January 2014 and February 2016 who were diagnosed clinically as having acute endometritis during the post‐partum or post‐abortion period. After exclusion criteria were applied, the ultrasound scans of 31 patients with acute endometritis and 32 healthy controls were randomised and anonymised. Images were reviewed retrospectively by two independent reviewers to identify the presence of these signs. Results The average sensitivity and specificity for readers identifying the subserosal hypoechoic rim sign in patients with acute endometritis were 71% and 92%, respectively. Interobserver reliability was good with an average kappa score of 0.63. Average sensitivity and specificity for endomyometrial junctional indistinctness were 79% and 72%, respectively, with good interobserver correlation (average kappa score 0.65). When both signs were either present or absent together, average sensitivity improved to 80.5% and average specificity was 91.7%. Conclusion We describe two new sonographic signs for puerperal endomyometritis that could improve the utility of ultrasound in the accurate and timely diagnosis of this condition. en
dc.publisher Wiley-Blackwell en
dc.relation.ispartofseries Australasian Journal of Ultrasound in Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html en
dc.title Sonographic findings in acute puerperal endometritis: The hypoechoic rim sign and endomyometrial junction indistinctness en
dc.type Journal Article en
dc.identifier.doi 10.1002/ajum.12057 en
pubs.issue 3 en
pubs.begin-page 123 en
pubs.volume 20 en
dc.rights.holder Copyright: Australasian Society for Ultrasound in Medicine en
pubs.end-page 128 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 654676 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Anatomy and Medical Imaging en
dc.identifier.eissn 2205-0140 en


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