An unusual cause of delayed postpartum haemorrhage following caesarean section.

Autor: Samad S, Jonetzko P, Hawkins AP, Booth J, Thorpe-Beeston G, Marwood R, Samad, S, Jonetzko, P, Hawkins, A P, Booth, J, Thorpe-Beeston, G, Marwood, R
Zdroj: Emergency Medicine Journal (EMJ); Aug2009, Vol. 26 Issue 8, p621-622, 2p
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. [ABSTRACT FROM AUTHOR]
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