Severe delayed postpartum hemorrhage due to a neglected uterine diverticulum: A case report
Journal
Journal of Reproductive Medicine
Journal Volume
58
Journal Issue
44385
Pages
347-350
Date Issued
2013
Author(s)
Abstract
BACKGROUND: Symptomatic uterine diverticula are rare and, to our knowledge, have never been reported as a cause of postpartum hemorrhage. CASE: A 35-year-old woman presented with severe vaginal bleeding on the 47th day after a cesarean section. She had received endometrial cu-rettage due to postpartum hemorrhage a few days earlier in another local hospital. Transvaginal ultrasound revealed a thickened heteroechoic endometrium and an isolated isthmic heteroechoic cystic lesion. Repeat endometrial curettage was performed initially. However, recurrent vaginal bleeding and hypovolemic shock occurred 2 days later. Active bleeding from a debris-full diverticulum in the lateral wall of the uterine isthmus was found during an emergent hysterotomy. The myometrium was sutured to obliterate the diverticulum. The follow-up course was uneventful. CONCLUSION: Uterine diverticula may present as isolated isthmic heteroechoic cystic lesions and may be overlooked as a cause of severe delayed postpartum hemorrhage. ? Journal of Reproductive Medicine?, Inc.
Subjects
Cesarean section; Delayed postpartum hemorrhage; Diverticu-lum; Postpartum hemorrhage
SDGs
Other Subjects
adult; article; case report; cesarean section; curettage; female; human; hypovolemic shock; hysterotomy; postpartum hemorrhage; priority journal; transvaginal echography; uterine diverticulum; uterus disease; vagina bleeding; Adult; Cesarean Section, Repeat; Diverticulum; Female; Humans; Hysterotomy; Postpartum Hemorrhage; Pregnancy; Shock; Uterine Diseases
Type
journal article