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Haematometra arising from multiple abortions: a comprehensive case report

Georges Yared1, Ali Younis2, Khodor Al Hajj2

  • 1Department of Obstetrics and Gynaecology, The Gilbert and Rose-Marie Chagoury School of Medicine Lebanese American University, Beirut, Lebanon.

The Journal of International Medical Research
|December 9, 2024
PubMed

Haematometra, a rare and delayed complication, can emerge following medical termination of pregnancy, also known as 'postabortal post-caesarean syndrome' or 'redo syndrome'. Treatment requires the immediate evacuation of both liquid and clotted blood for quick resolution, followed by administration of an oxytocic agent to ensure complete recovery. This current report describes a female patient in her mid-30s who presented with colicky lower abdominal pain following a medically-induced abortion at 10 weeks. The case underscores the critical need for vigilance in detecting haematometra after abortion or caesarean delivery. Prompt recognition through symptoms and ultrasound, followed by immediate treatment, is essential to prevent severe complications such as infertility and ensure ongoing reproductive health.

Keywords:
Haematometrapost-caesarean complicationspostabortal syndromesuction curettage abortionsuction evacuation

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