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Postpartum diffuse calcification of the myometrium
W G McCluggage1, J M Sloan, A I Traub
1Department of Pathology, Royal Group of Hospitals, Belfast, Northern Ireland.
An apparently unique case of diffuse calcification of the myometrium occurring in the puerperum in a 24-year-old woman is reported. Vaginal delivery by forceps of a healthy baby was followed by septic shock and massive postpartum hemorrhage, necessitating hysterectomy 4 weeks later. Examination of the uterus revealed widespread calcification of myometrial fibres. It is speculated that this widespread phenomenon represents dystrophic calcification secondary to myometrial necrosis and is a hitherto undescribed cause or complication of massive postpartum hemorrhage.
An apparently unique case of diffuse calcification of the myometrium occurring in the puerperum in a 24-year-old woman is reported. Vaginal delivery by forceps of a healthy baby was followed by septic shock and massive postpartum hemorrhage, necessitating hysterectomy 4 weeks later. Examination of the uterus revealed widespread calcification of myometrial fibres. It is speculated that this widespread phenomenon represents dystrophic calcification secondary to myometrial necrosis and is a hitherto undescribed cause or complication of massive postpartum hemorrhage.