Ultrasound speaks. I interpret!!
Hematometra
A hematometra is a uterus distended with blood.
It occurs when there is partial or complete obstruction of the outflow tract, meaning menstrual blood cannot drain from the endometrial cavity.
When the outflow pathway is blocked, menstrual blood accumulates silently for weeks or months. Eventually, the pressure becomes unbearable leading to acute pelvic pain, amenorrhea, and a tense, distended uterus.
Ultrasound features of hematometra include:
Distended endometrial cavity,
Homogeneous fluid with low‑level internal echoes (old blood),
Possible fluid–fluid levels (wasn't present in my case),
No internal Doppler flow at color Doppler,
Cervix appears closed.
Yesterday, I received a 32‑year‑old woman with severe acute lower abdominal pain.
She reported h/o IUFD 1 year ago, and since then she has never resumed her menses.
TVS scan was performed and the findings were consistent with hematometra.
Here are the sonograms 👇👇