Intrauterine blood clot

Last revised by Dr Yuranga Weerakkody on 26 Jan 2019

Intrauterine blood clot can result from a number of situations in gravid, non-gravid and postpartum states. It can mimic many other pathologies.

Any condition that predisposes to an intrauterine hemorrhage can potentially result in an intrauterine blood clot.

  • may be seen as material expanding the uterine cavity (if large) or focal intracavitary content (if small)
  • the echotexture is usually heterogeneous although can vary according to the stage of clot
  • color Doppler interrogation shows no associated flow: this can be a useful distinction with other differential diagnoses

There can be a relatively wide differential depending on the clinical context:

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