Case 6

This is a pelvic ultrasound study, showing an enlarged, globular uterus – the cavity is grossly distended and filled with fluid. The fluid shows homogeneous low level echoes; I also note a fluid – fluid level with anechoic fluid rising to a dependent position. The surrounding uterine wall appears thinned due to distension.

I cannot appreciate vaginal or fallopian tube distension on these images.

These findings represent accumulated blood in the uterine cavity, or haematometra.

I would contact the referring physician and advise OBGYN referral.