Sonographic appearance of the uterus after simple square suturing for rapid control of postpartum hemorrhage and preservation of fertility

We describe the postoperative sonographic appearance of the uterus after successful use of simple square suturing for rapid control of profuse bleeding during cesarean section in a pregnant woman with uterine atony and placenta accreta. The serial sonograms initially showed decreased echogenicity in the compressed uterine area, but about 1 week after surgery, echogenicity of the compressed area returned to normal and, 2 weeks after surgery, patency of the uterine canal became evident. This report highlights the usefulness of this suturing technique for controlling such hemorrhage and the role of sonography in evaluating uterine status postoperatively.