Pelvic tamponade in puerperal hemorrhage. A case report

Area of Science:

• Obstetrics and Gynecology
• Hemorrhagic disorders

Background:

• Puerperal hemorrhage is a leading cause of maternal mortality worldwide.
• Disseminated intravascular coagulation (DIC) is a severe complication that can arise post-hysterectomy.
• Effective management strategies for intractable postpartum hemorrhage are critical.

Observation:

• A patient presented with severe puerperal hemorrhage and concurrent disseminated intravascular coagulation following a hysterectomy.
• Initial surgical interventions to control bleeding were unsuccessful.

Findings:

• Pelvic tamponade was successfully achieved using the Logothetopulos pack.
• This intervention effectively managed the life-threatening hemorrhage and associated coagulopathy.

Implications:

• The Logothetopulos pack represents a valuable tool for managing refractory postpartum hemorrhage.
• This case highlights the importance of considering tamponade techniques when standard surgical methods fail.
• Further research into the efficacy and application of pelvic packing in obstetric emergencies is warranted.