Korean J Obstet Gynecol.  2011 Jun;54(6):314-316. 10.5468/KJOG.2011.54.6.314.

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall

• Park M
• Han SS

• KMID: 2274041
• DOI: http://doi.org/10.5468/KJOG.2011.54.6.314

Abstract

Puerperal genital hematomas are uncommon causes of postpartum hemorrhage but can be a cause of serious morbidity and even maternal death. When puerperal genital hematomas are clinically occult despite significant blood loss or found as delayed postpartum hemorrhage, there is a high risk of shock. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on 2nd postpartum day.

Keyword

Postpartum hemorrhage; Retroperitoneum; Hematoma

MeSH Terms

Hematoma
Maternal Death
Postpartum Hemorrhage
Postpartum Period
Rupture
Shock

Figure

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  Fig. 1 Contrast-enhanced computed tomography image showing displaced uterus to the right (arrow) and large hematoma (arrow head) in left pelvic cavity.

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  Fig. 2 T2 weighted magnetic resonance imaging in the coronary view of the pelvis showing no specific finding in left pelvic cavity.

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