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Postpartum hemoperitoneum due to avulsion of pelvic uterine adhesion band

Hung-Chung Fu1, Sheung-Fat Ko, Chi-Yu Ou

  • 1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaoshiung 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan.

Southern Medical Journal
|January 2, 2007
PubMed

A 31-year-old nulliparous woman presented in labor with preterm rupture of membranes at 35 weeks of gestation. The ensuing intrapartum course was uneventful, and she delivered a healthy infant (birth weight, 2,850 g) vaginally. Four hours after delivery, the patient had a syncopal episode due to hypovolemic shock. At laparotomy, a fibrous band between the right fallopian tube and uterus was found to be avulsed and actively bleeding, confirming preoperative findings obtained with multidetector row computed tomographic angiography.

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
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The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...