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Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by

Mili Thakur1, Henry O Adekola2, Radwan Asaad3

  • 1Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan; Division of Genetic and Metabolic Disorders, Department of Pediatrics and Center for Molecular Medicine and Genetics, Wayne State University/Detroit Medical Center, Detroit, Michigan.

AJP Reports
|January 5, 2017
PubMed

Secondary postpartum hemorrhage due to an intraperitoneal bleed following a vaginal delivery is extremely rare. We present a case of spontaneous rupture of the uterine artery following a normal vaginal delivery with a delayed presentation, which resulted in significant morbidity. This case discusses the presentation and management of this rare obstetrical emergency. The report also discusses the role of selective arterial embolization in management of secondary postpartum hemorrhage.

Keywords:
hemorrhagic shockintraperitoneal bleedingsecondary postpartum hemorrhagespontaneous uterine artery ruptureuterine artery embolization

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