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

Keywords

Related Articles

Study of Serum Calcium, Uric Acid, Magnesium and Adenosine Deaminase Activity and Their Correlation in Toxemia of Pregnancy

Abstract: The objective is to compare serum calcium, magnesium, uric acid and ADA levels in pre eclamptic, eclamptic women and normal pregnant women. A Prospective Observational Study was conducted in 35 normal pregnan...

Smoking Index and Auditory Reaction Time- A Comparative Study

Abstract:Tobacco smoking is known as one of the most abused drugs for all ages. Cigarette is a factor affecting reaction time due to stimulant property of its active ingredient nicotine. Smoking can be assessed by smokin...

Hypogonadotropic Hypogonadism in as a Sequel of Tubercular Meningitis

The most common cause of meningitis is Tubercular meningitis (TBM) and it leads to irreparable neurological consequences, morbidity and mortality if not treated. The usual complication of TBM in survivors are neurologic...

Rare Association of Ampullary Carcinoma

Ampullary carcinoma is the second most common cancer of the ampullary area after pancreatic carcinoma. Though ampullary carcinoma is known to metastasize intra-abdominally and to the liver, solid adrenal metastasis has n...

A Case of Aneurismal Bone Cyst in Lower End of Tibia

Aneurysmal bone cyst involving the lower end of tibia in middle age male is a rare entity. A 37 years male patient came to the outpatient department with a complaint of pain in the lower part of the right leg since two y...

Download PDF file
  • EP ID EP374303
  • DOI -
  • Views 89
  • Downloads 0

How To Cite

Nidhi Gupta, Vijay Zutshi, B. D. Hasija (2014). A Rare Cause of Secondary Postpartum Haemorrhage: Hyperactive Placental Site. Scholars Journal of Applied Medical Sciences, 2(6), 1951-1953. https://europub.co.uk/articles/-A-374303