scholarly journals A life threatening uterine inversion and massive post partum hemorrhage caused by placenta accrete during Caesarean section in a primigravida: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Dimitris Tsivos ◽  
Fozia Malik ◽  
Kirana Arambage ◽  
Philip Hagan ◽  
Cheng Lee
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Post Partum ◽  
Post Partum Hemorrhage ◽  
Uterine Inversion ◽  
Life Threatening ◽  
Placenta Accrete

scholarly journals A Life-Threatening Uterine Inversion and Massive Post Partum Hemorrhage Caused by Uterine Atony in A Primigravida Uterine Inversion

2013 ◽  
Vol 51 (3) ◽  
pp. 139-140
Author(s):  
Işıl Uzun Çilingir ◽  
Volkan Atalay ◽  
Ayşe Karahasanoğlu ◽  
Barış Kaya ◽  
Işık Akın
Keyword(s):  
Post Partum ◽  
Uterine Atony ◽  
Post Partum Hemorrhage ◽  
Uterine Inversion ◽  
Life Threatening

scholarly journals Caesarean Scar Pregnancy - A Rare Case Report

2016 ◽  
Vol 27 (2) ◽  
pp. 83-86 ◽  
Author(s):  
Razia Sultana ◽  
Saiful Islam ◽  
Nurjahan
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Transvaginal Sonography ◽  
Emergency Laparotomy ◽  
Colour Doppler ◽  
Caesarean Scar ◽  
Incomplete Abortion ◽  
Rare Case Report ◽  
Life Threatening

Objective:The aim is to publish the case report of the rarely occurring and life threatening ectopic pregnancy developing in a Caesarean section scar causing uterine rupture.Methods and Results: This patient was diagnosed initially as a case of incomplete abortion. Other possible diagnoses were molar pregnancy, mass in the cervix. She was admitted in hospital for evacuation and curettage. During the procedure she developed severe pervaginal bleeding leading to hypovolumic shock. So decision was taken for emergency laparotomy. After opening the abdomen rupture was found in the lower uterine segment extending upto upper part of cervix. So hysterectomy was performed and histopathology confirmed the diagnosis of ectopic pregnancy that developed in a Caesarean section scar Analysis of the women’s obstetric history revealed that she had been previously operated because of breech presentation.Conclusion: Heightened awareness of the possibility of pregnancy in caesarean scar and early diagnosis by means of transvaginal sonography along with colour doppler can improve outcome and minimize the need for emergency extended surgeryBangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 83-86

scholarly journals Gossypiboma! Never again: A case report

2020 ◽  
Vol 1 (1) ◽  
pp. 21-22
Author(s):  
Shankar Bastakoti ◽  
Nirmal Lamichhane ◽  
Binuma Shrestha
Keyword(s):  
Case Report ◽  
Adnexal Mass ◽  
Post Partum ◽  
Abdominal Discomfort ◽  
Radiological Examination ◽  
Emergency Laparotomy ◽  
Post Partum Hemorrhage ◽  
History Of ◽  
Foamy Macrophages ◽  
Better Than

Gossypiboma refers to a retained sponge in the surgical bed. We present a 40- year-old female from Terai region of Nepal presented with long standing abdominal discomfort which on further radiological examination complex adnexal mass was suspected. She had a history of emergency laparotomy for post-partum hemorrhage more than a decade ago. She underwent surgery for suspicious complex adnexal mass. On exploring fiber formed partly degenerated content was revealed, which on histopathology reveal foamy macrophages, degenerated material and fiber strands and finally diagnosis of Gossypioma was made. Prevention of gossypiboma is much better than cure.

Novel pathophysiological cause for post-partum hemorrhage: Case report of post-partum hemorrhage with occult abnormal artery diagnosed on pelvic angiography

2015 ◽  
Vol 41 (9) ◽  
pp. 1469-1472
Author(s):  
Shigenori Iwagaki ◽  
Tatsuhiko Miyazaki ◽  
Tomoko Mizuno ◽  
Hiroshi Kondo ◽  
Ken-Ichirou Morishige
Keyword(s):  
Case Report ◽  
Post Partum ◽  
Post Partum Hemorrhage

scholarly journals Carbetocin versus Oxytocin and Misoprostol in prevention of atonic post-partum hemorrhage in high risk patients planed for cesarean delivery

2017 ◽  
Vol 7 (1) ◽  
pp. 10 ◽  
Author(s):  
Abd El-Naser Abd El-Gaber Ali ◽  
Ahmed Ali M. Nasr ◽  
Hazem H. Ahmed ◽  
Mahmoud I. El- Rasheedy ◽  
Mahmoud Badawy
Keyword(s):  
High Risk ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Post Partum ◽  
Elective Caesarean Section ◽  
High Risk Patients ◽  
Post Partum Hemorrhage ◽  
Group I ◽  
Risk Patients ◽  
Group Ii

Background: Post-partum hemorrhage prevention (PPH) is considered a major issue due to its effect on maternal morbidity and mortality. The objective of this study was to compare efficacy of Carbetocin in prevention of atonic post-partum hemorrhage in high risk patients undergoing elective caesarean section in comparison to Oxytocin and Misoprostol.Methods: 150 pregnant women prepared for elective caesarean section were classified into 3 groups; Group I (50 patients received Carbetocin 100 mg I.V infusion), Group II (50 patients received 20 IU of Oxytocin infusion on 1000 ml of normal saline solution) and Group III (50 cases received Misoprostol 400 µg per rectum immediately before induction of anaesthesia). Assessment of PPH and its degree was determined according to amount of blood loss during and for first 24 hours of caesarean delivery, also further need for haemostatic measures were also assessed.Results: There was a statistically significant difference in PPH among the three groups 6, 14 and 12% for group I, II and III respectively (P <0.001), major PPH was 0, 4 and 6% for the same groups respectively (P <0.001). The need for additional uterotonic agents was significantly lesser in Group I compared to Group II and III (2% versus 8 and 12% respectively P = 0.02) also the need for additional surgical measures was significantly lesser among the three groups (P= 0.00). The drop in Hb level and haematocrit value was significantly lesser in group I compared to group II& III (P <0.05). The need for blood transfusion was significantly lesser in Group I compared to group II and III (0% versus 12% p <0.0001)Conclusions: Carbetocin was superior to Oxytocin and Misoprostol in prevention of atonic PPH in high risk patients underwent elective caesarean delivery. Carbetocin should be administered for all cases undergoing elective CS and carry a risk factor for postpartum hemorrhage. 

scholarly journals HELLP syndrome complicated by pulmonary edema: a case report

Open Medicine ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 509-511
Author(s):  
Caiyuan Mai ◽  
Bin Wang ◽  
Rong Chen ◽  
Dongmei Duan ◽  
Lijuan Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Early Detection ◽  
Pulmonary Edema ◽  
Hellp Syndrome ◽  
Liver Enzymes ◽  
Common Life ◽  
Elevated Liver Enzymes ◽  
Life Threatening ◽  
Life Threatening Complication

AbstractHELLP syndrome is a combination of symptoms described as hemolysis, elevated liver enzymes and low platelets. HELLP is a common life-threatening complication of pregnancy thought to be a variant or complication of preeclampsia. In this case report, we aimed to present a woman with acute postpartum HELLP syndrome complicated by pulmonary edema after caesarean section following severe preeclampsia. Our experience suggests that early detection of HELLP syndrome and timely management will bring good outcomes.

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