Uterine changes after dilation and curettage: MR imaging findings

Radiology. 1991 Aug;180(2):433-5. doi: 10.1148/radiology.180.2.2068306.

Abstract

To determine what, if any, changes occur in the appearance of the uterus on magnetic resonance (MR) images after dilation and curettage (D&C), nine women without endometrial abnormality underwent imaging before D&C and on day 2 and day 7 after D&C. On day 2, markedly hypointense curvilinear areas in the endometrial canal were noted on MR images in all patients (P = .0002). By day 7, these areas decreased in size in five (62%) and completely resolved in the rest (P = .022). There was no significant change in the width of the endometrial stripe or in the width or signal intensity of the junctional zone or myometrium after D&C. The junctional zone was focally disrupted in one patient who underwent D&C that was complicated by a uterine perforation. Therefore, curvilinear areas of low signal intensity (most likely representing clot) in the endometrial canal were visualized on MR images within 2 days of uncomplicated D&C and decreased in size or resolved over time. Significant widening of the endometrial stripe or disruption of the junctional zone was not observed after uncomplicated D&C.

MeSH terms

  • Adult
  • Dilatation and Curettage*
  • Endometrium / pathology
  • Female
  • Humans
  • Magnetic Resonance Imaging* / methods
  • Menstrual Cycle
  • Myometrium / pathology
  • Prospective Studies
  • Time Factors
  • Uterus / pathology*
  • Uterus / surgery