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Late-onset postpartum hemorrhage from placental bed subinvolution: a case report
Maria A Costa1, Lucinda I Calejo, Jose Martinez-de-oliveira
1Department of Obstetrics and Gynecology, University Hospital São João, Porto, Portugal. antonianunescosta@hotmail.com
Background:
Placental bed subinvolution is an underestimated cause of severe, late-onset postpartum hemorrhage.
Case:
A case of placental bed subinvolution caused abnormal uterine bleeding in the late postpartum period. Because of difficulties in establishing the diagnosis, massive, intractable and life-threatening uterine hemorrhage occurred, leading to hysterectomy.
Conclusion:
Early recognition of placental bed subinvolution allows the use of treatment options capable of preserving the uterus and subsequent fertility.
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