A Rare Cause of Secondary Postpartum Haemorrhage: Hyperactive Placental Site
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 6
Abstract
A 26 years old woman para3 living3 presented to gynae emergency in haemorrhagic shock (secondary postpartum haemorrhage) with severe anaemia on post natal day 10 of normal vaginal delivery at home. There was history of previous one caesarian section done 5 years back followed by a full term normal vaginal delivery 3 years back and myomectomy done 1 year back. Patient was managed conservatively. She was anaemic. Rest of the routine investigations were within normal limits. Coagulation profile and βHCG were also normal. After correction of anaemia she was discharged after 5 days. Patient was admitted again after one day in v/o similar complaints and bleeding was profuse. This time Balloon tamponade was done and bleeding stopped. She continued to be anaemic. USG Doppler was done which was normal. During her stay in hospital, she had a 3rd bout of bleeding after a gap of 4 days. Patient was counselled and advised to undergo hysterectomy in view of repeated bleeding resulting in to severe anaemia. Total Abdominal Hysterectomy was done with written informed consent after arranging adequate blood. Postoperative period was uneventful. The intraoperative findings were (a) uterus 8 weeks size, smooth in outline without any rent (b) No haemoperitoneum seen (c) B/L tubes and ovaries normal. On cut section, an irregular mass of around 2×2 cm was seen arising from the posterior wall of the uterus. Histopathology showed features suggestive of syncytial endometritis/ hyperactive placental site. During follow up till date, patient is doing fine. In conclusion, hyperactive placental site is a self-limited condition which can result secondary to the retained products of conception like trophoblastic cells of mature placenta but it can be a cause of bleeding in a young female resulting in hysterectomy. Occurrence of this condition is also a rare finding. Keywords: haemorrhagic, myomectomy, Histopathology.
Authors and Affiliations
Nidhi Gupta, Vijay Zutshi, B. D. Hasija
Brachial plexus block- A comparison between clonidine and dexmedetomidine as an adjuvant to local anaesthetic agent ropivacaine in supraclavicular approach
Abstract: Local anaesthetics are used widely in regional and peripheral nerve blocks inspite of many disadvantages like short duration of action, associated allergic reaction and systemic toxicity. To overcome the abov...
Clinical profile and socioeconomic status of oral cancer patients attending tertiary care centre in India
Abstract: India heading towards various types of non-communicabledisease, also known as modern epidemic. Oral cancer one of the major problem in India and accounts for 50-70% of all cancer diagnosed.90% oral cancer linke...
Study of Prevalence and Risk Factors of Non-Fatal Road Traffic Accidents in Ruralpopulation of District Dehradun
Abstract: To study the prevalence and various environmental risk factors related to Road Traffic Accidental injuries in rural population of district Dehradun.A cross-sectional descriptive study was conducted in rural are...
A Prospective Study on Management of Intertrochantric Fractures in Elderly Osteoporotic Patients using Cemented Bipolar Hemiarthroplasty
Inter trochanteric fractures or Hip fractures are devastating injuries that most commonly affect the elderly and have a tremendous impact on both the health care system and society in general. The objective is to study t...
Patient Satisfaction Regarding Quality of Primary Health Care Services in an Urban Community: A Medical Outcome Survey
Patient satisfaction is an indicator of health care quality and is considered as essential criteria for its evaluation. In addition to improving health status of the individual it will also reduce financial burden on his...