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- W3128582334 abstract "Puerperium is the period during which the physiological changes that have taken place during pregnancy revert and the uterus involutes until it reaches its normal size. This is a period of intense systemic changes, and diagnosing complications in this period is a challenge for both gynecologists and radiologists. This paper reviews the complications that can occur during puerperium, classifying them according to the pathophysiological mechanisms involved: the prothrombotic state, hemodynamic and hormonal changes, rapid uterine growth, changes associated with endothelial damage (preeclampsia, eclampsia, and HELLP syndrome), and postoperative complications in patients undergoing cesarean sections. Puerperal complications represent a diagnostic challenge. Understanding the pathophysiological mechanisms underlying these complications is fundamental for choosing the most appropriate imaging technique to ensure the correct diagnosis in each case. El puerperio es el periodo en el que los cambios fisiológicos que han tenido lugar durante el embarazo revierten y el útero involuciona hasta recuperar su tamaño normal. Se trata de un periodo de intensos cambios sistémicos, y el diagnóstico de las complicaciones asociadas constituye un reto tanto para el ginecólogo como para el radiólogo. En este trabajo se revisan las complicaciones que pueden acontecer, y se clasifican en función de su mecanismo fisiopatológico: el estado protrombótico, los cambios hemodinámicos y hormonales, el rápido crecimiento uterino, las alteraciones asociadas al daño endotelial (preeclampsia, eclampsia y síndrome de HELLP) y las complicaciones posquirúrgicas de la cesárea. Las complicaciones del puerperio son un reto diagnóstico. Comprender el mecanismo fisiopatológico subyacente es fundamental para el diagnóstico y la elección de la técnica de imagen más apropiada en cada caso." @default.
- W3128582334 created "2021-02-15" @default.
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- W3128582334 date "2021-01-01" @default.
- W3128582334 modified "2023-10-01" @default.
- W3128582334 title "Puerperal complications: Pathophysiological mechanisms and main imaging findings" @default.
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- W3128582334 doi "https://doi.org/10.1016/j.rxeng.2020.08.001" @default.
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