Fig. 8
From: Multidetector CT of expected findings and complications after hysterectomy
Haemoperitoneum after LH for uterine myomas, manifesting the next day with worsening pelvic pain and blood loss. Precontrast CT (A, B) images showed haemoperitoneum (+) in the upper abdomen, and a vast hyperattenuating haematoma (*) occupying most of the pelvis, causing compression on the urinary bladder. CT angiography (C) and venous-phase CT acquisition (D) showed active arterial bleeding as serpiginous contrast medium extravasation (arrowheads). Open surgery confirmed presence of nearly 1 l of blood in the abdominal cavity and arterial haemorrhage from the left-sided angle of the vaginal vault and small vessels of the ipsilateral ovarian pedicle, which was treated by coagulation and suture (Partially reproduced from open access ref. no. [60])