Severe postpartum hemorrhage with placental abruption managed by the uterine sandwich: a case report
Journal Title: Clinical and Experimental Obstetrics & Gynecology - Year 2019, Vol 46, Issue 2
Abstract
Purpose of investigation: The authors report a case of severe postpartum hemorrhage (PPH) with placental abruption managed using the uterine sandwich. Case Report: A 24-year-old woman with placental abruption was referred to Yamaguchi Grand Medical Center at 35 weeks of gestation. Cesarean section was performed, and severe PPH occurred. After an intrauterine Bakri balloon and B-Lynch suture were applied and uterine bleeding was controlled. The total blood loss was 4,090 ml. Transfusion included 16, 22, and 20 U of red cell concentrates (RCC), fresh frozen plasma (FFP), and platelet concentrates (PC), respectively. The patient was discharged with no complications eight days postoperatively. Conclusion: The uterine sandwich is an effective option for the treatment of severe PPH.
Authors and Affiliations
Ichiro Miwa, Masahiro Shinagawa, Terumi Miwa, Keiko Ootani, Masakatsu Sase, Yasuhiko Nakamura
Keywords
Related Articles
- EP ID EP620254
- DOI 10.12891/ceog4387.2019
- Views 53
- Downloads 0
Pregnancy outcome of recurrent spontaneous abortion in Wilson’s disease after decoppering therapy
Purpose of Investigation: To report pregnancy outcome after decoppering therapy in patients with recurrent spontaneous abortion (RSA) and Wilson’s disease (WD). Materials and Methods: In a retrospective study, 12 WD pati...
Use of sympathomimetic amines to correct premenstrual urticaria and anaphylaxis
Purpose: To see if the use of sympathomimetic amines, which have been shown to treat cases of hives, can help prevent cyclical urticaria and anaphylaxis associated with the late luteal phase that was resistant to standar...
Long-term treatment of endometriosis with dienogest for up to five years
Purpose of Investigation: Dienogest is marketed in Japan as the first time in the world for novel treatment of endometriosis. This paper details the retrospective investigation how effective long-term use of dienogest is...
Fetal magnetic resonance imaging is a useful modality for prenatal diagnosis of obstructed hemivagina and ipsilateral renal anomaly syndrome
The authors report the first case of prenatal fetal MRI diagnosis of unilateral hydrocolpos, uterus didelphys, and ipsilateral renal agenesis in a case of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) synd...
Long standing post-herpetic neuralgia resistant to standard anti-neuropathy medication showing quick dramatic improvement following treatment with sympathomimetic amines
Purpose: To determine if treatment with dextroamphetamine sulfate can alleviate severe chronic post-herpetic neuralgia that failed to respond to standard drugs typically used for neuropathy. Materials and Methods: An 88-...