Obstetrics and Gynaecologymiddle twist
Nine days after a vaginal birth, a woman presents with recurrent bleeding, a temperature of 38.3°C and lower abdominal pain. The uterus is tender and larger than expected, and the lochia has an offensive odour. Ultrasound shows 28 mm of heterogeneous material within the cavity with internal vascularity; she is haemodynamically stable. Which one of the following is the most appropriate management?