| Autor: |
Samad S; Chelsea and Westminster Hospital, London, UK. sazia.samad@doctors.org.uk, Jonetzko P, Hawkins AP, Booth J, Thorpe-Beeston G, Marwood R |
| Jazyk: |
angličtina |
| Zdroj: |
Emergency medicine journal : EMJ [Emerg Med J] 2009 Aug; Vol. 26 (8), pp. 621-2. |
| DOI: |
10.1136/emj.2008.066407 |
| Abstrakt: |
Although less common in the UK, postpartum haemorrhage (PPH)--defined as blood loss of 500 ml or more within the first 24 h of delivery--remains a significant cause of maternal death worldwide. Haemorrhage between 24 h and 6 weeks post partum is termed "delayed PPH". Common causes include retention of gestational products or endometritis. Bleeding can be sudden and profound, resulting in rapid cardiovascular collapse. A case of massive PPH 7 weeks after a caesarean section caused by a pseudoaneurysm of the uterine artery is reported. This case highlights diagnostic and therapeutic issues concerning this rare but potentially life-threatening condition and presents clinical features distinguishing it from other causes of PPH. Delay in diagnosis can result in repeated and catastrophic bleeding. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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