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Artykuły w czasopismach na temat „Massive uterine bleeding”

Autor: Grafiati

Data publikacji: 2 czerwca 2025

Data aktualizacji: 31 lipca 2025

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1

Gupta, Sumiti, Renuka Verma, and Rajnish Kalra. "Uterine Arterio-Venous Malformation: A Rare Post Mortem Finding in a Young Female." International Journal of Health Sciences and Research 11, no. 11 (2021): 130–33. http://dx.doi.org/10.52403/ijhsr.20211116.

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Uterine arterio-venous malformation is one of the differentials of dysfunctional uterine bleeding that can result in life-threatening emergency with sudden, unexpected massive vaginal bleeding. We describe a case of 20-year old female, who presented with sudden heavy vaginal bleeding and was diagnosed with uterine arterio-venous malformation on post-mortem examination. High index of suspicion is required to make a timely diagnosis for appropriate management and to avoid maternal morbidity and mortality. Key words: Uterine arterio-venous malformations, embolization, dysfunctional uterine bleedi

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2

Leong, Justin Wen Hao, Liying Yang, Kevin Kim Jun Teh, and Wei Lun Liou. "An Unusual Cause of Massive Per Vaginal Bleeding." ACG Case Reports Journal 11, no. 10 (2024): e01496. http://dx.doi.org/10.14309/crj.0000000000001496.

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ABSTRACT Massive per vaginal bleeding from ectopic pelvic varices is an exceedingly rare presentation in patients with cirrhosis. A 60-year-old postmenopausal woman presented with massive per vaginal (PV) bleeding. Computerized tomography scan showed extensive portosystemic collaterals with a large collateral vessel from the splenic vein to the region of her previous caesarean scar, on a background of liver cirrhosis. The cause of the massive PV bleeding was identified as arising from the uterine varix. She was transferred to a tertiary liver unit where she underwent angiographic embolization

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3

Meena, Radheshyam. "Interventional Radiology Management of Uterine AVM, bleeding into uterine cavity during Uterine Artery Embolization." International Journal of Clinical Case Reports and Reviews 26, no. 02 (2025): 01–05. https://doi.org/10.31579/2690-4861/819.

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Uterine Arteriovenous malformation (AVM) is a rare cause of fatal bleeding in female of childbearing age group. Acquired AVM being more common than congenital AVM, and can be diagnosed in a patient presenting with massive uterine bleeding, post - dilatation & curettage/molar pregnancy/pelvic trauma/cervical carcinoma/endometrial carcinoma. Uterine artery embolization (UAE) is preferred minimally invasive treatment option for females with Uterine AVM, if these women want to preserve their fertility. Preferred embolising agents depends on various factors, including user preference. We are pr

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4

Chandra, Rudrika, and Sanjay Singh. "Vaginal ligation of descending branch of uterine artery in the management of massive secondary post-partum haemorrhage." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 7 (2019): 2937. http://dx.doi.org/10.18203/2320-1770.ijrcog20193074.

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A 25 year old lady presented on day 22 of an uneventful caesarean delivery, in a state of class IV haemorrhagic shock, secondary to sudden onset of vaginal bleeding without any inciting cause. Immediate resuscitation was initiated and the cause for massive secondary post-partum haemorrhage (PPH) was identified as an actively bleeding vessel at 3 ‘O’ clock position on a visibly healthy cervix with a well contracted uterus. This was the descending branch of left uterine artery, which was ligated after pulling the cervix with a sponge holder towards the introitus and application of Vicryl No 1-0

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5

Karadag, Burak, Onur Erol, Ozgur Ozdemir, et al. "Successful Treatment of Uterine Arteriovenous Malformation due to Uterine Trauma." Case Reports in Obstetrics and Gynecology 2016 (2016): 1–3. http://dx.doi.org/10.1155/2016/1890650.

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Uterine arteriovenous malformation (AVM) is defined as abnormal and nonfunctional connections between the uterine arteries and veins. Although the patients typically present with vaginal bleeding, some patients may experience life-threatening massive bleeding in some circumstances. The treatment of choice depends on the symptoms, age, desire for future fertility, and localization and size of the lesion; however, embolization of the uterine artery is the first choice in symptomatic AVM in patients at reproductive age with expectations of future fertility. We report a case of acquired AVM (after

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6

Yulson, M. Luthfi, and Mondale Sahputra. "Uterine Arterivenous Malformation." Andalas Obstetrics And Gynecology Journal 8, no. 2 (2024): 809–14. http://dx.doi.org/10.25077/aoj.8.2.809-814.2024.

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Background : Arteriovenous malformations of the uterus are rare and cause sudden, massive vaginal bleeding. Although rare, arteriovenous malformations can occur after a cesarean section. Patients with uterine arteriovenous malformations commonly manifest vaginal bleeding disorders, ranging from menorrhagia to life-threatening bleeding episodes. Management of AVM is by medication, embolization and surgery depending on the patient's condition. Case : Here we report the case of a 28 year old patient with a diagnosis of Late HPP ec Susp. AVM uteruson P4A0L4 post LSCS + moderate anemia. The patient

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7

Tak, Hyunjin, Kyong-No Lee, Ji-Won Ryu, Keun-Young Lee, and Ga-Hyun Son. "Danazol as a Treatment for Uterine Arteriovenous Malformation: A Case Report." Journal of Personalized Medicine 13, no. 9 (2023): 1289. http://dx.doi.org/10.3390/jpm13091289.

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Uterine arteriovenous malformation (AVM) is associated with a risk of massive uterine bleeding. Although uterine artery embolization remains the first-line treatment for AVM, there has been a recent exploration of pharmacological options. Danazol is known to reduce blood flow to the uterus; however, our understanding of its therapeutic efficacy for AVM remains limited. Herein, we present the results of danazol use in patients with uterine AVM. We retrospectively reviewed the medical records of patients who received danazol for the treatment of AVM between January 2013 and November 2022. The co

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8

Plakhotina, E. N., T. N. Belousova, I. A. Kulikov, K. M. Pavlyutina, and R. V. Latyshev. "Blood Saving Possibilities in Delivering Patients with Placenta Increta." Innovative medicine of Kuban 14, no. 2 (2019): 67–75. http://dx.doi.org/10.35401/2500-0268-2019-14-2-67-75.

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According to the results of systematic reviews of WHO, maternal mortal-ity associated with massive bleeding almost reached 30% and has no tendency to decrease. Among the causes of massive obstetric hemorrhage, the most challenging ones are uterine hypotension and morbidity adherence placenta. Most severe complication for placentation is placenta increta in the uterine wall. Over the past 50 years, the number of cases with morbidity adherence placenta has in-creased tenfold. By all indications, this pathology has taken on the character of an epidemic and is one of the main causes for massive bl

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9

Wada, Natsuko, Daisuke Tachibana, Kayoko Nakagawa, et al. "Pathological Findings in a Case of Failed Uterine Artery Embolization for Placenta Previa." Japanese Clinical Medicine 4 (January 2013): JCM.S11317. http://dx.doi.org/10.4137/jcm.s11317.

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The reported success rate of uterine artery embolization (UAE) for obstetrical hemorrhage is more than 90%. We experienced a case of failed UAE for postpartum hemorrhage, although an embolic particle was found pathologically in the uterine vessels without coagulation. A 42-year-old woman (gravida 7, para 2) with placenta previa had genital bleeding at 35 weeks of gestation, and cesarean section was performed. We immediately added UAE aiming to reduce massive bleeding after the cesarean section, successful embolization of the bilateral uterine arteries and internal iliac arteries were confirmed

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10

Indiaminova, G. N. "The relevance of infusion and transfusion therapy in obstetric practice." Infusion & Chemotherapy, no. 3.1 (October 11, 2020): 36–37. http://dx.doi.org/10.32902/2663-0338-2020-3.1-29.

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Objective. To improve the outcomes of treatment of massive bleeding in obstetrics in combination with infusion-transfusion therapy (ITT). Materials and methods. Clinical and laboratory study of 16 women with bleeding in the early postpartum period (EPP). Results and discussion. We examined 16 women with bleeding for various reasons in the EPP. Of these, in 4 (25 %) women, the cause of bleeding in the postpartum period was trauma to the birth canal, in 2 (12.5 %) women there was dense attachment of the placenta, in 3 (18.75 %) women, bleeding in the EPP was observed due to the remai

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11

Khojamberdiyeva, Malohat Ulugbekovna, Daria Aleksandrovna Smolina, and Ekaterina Evgenyevna Chernaya. "DECREASED OVARIAN FUNCTION AFTER UTERINE ARTERY EMBOLIZATION DURING MASSIVE OBSTETRIC BLEEDING." Scientific medical Bulletin of Ugra 32, no. 2 (2022): 106–8. http://dx.doi.org/10.25017/2306-1367-2022-32-2-106-108.

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Postpartum haemorrhage is still the leading cause of maternal morbidity and mortality. Uterine artery embolisation (EMA) is an effective organ-preserving treatment for uncontrolled obstetric haemorrhage. To date, there is evidence that EMA may lead to a reduction in ovarian reserve. In the present study, we retrospectively and prospectively analyzed clinical manifestations of ovarian dysfunction in 30 women of reproductive age 1.5 years after uterine artery embolization during massive obstetric bleeding.

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12

Bacalbasa, Nicolae, Irina Balescu, Roxana Elena Bohiltea, et al. "The role of embolization in unresectable, haemorrhagic, gynaecological tumors." Romanian Journal of Medical Practice 16, S7 (2021): 59–61. http://dx.doi.org/10.37897/rjmp.2021.s7.19.

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Once the techniques of interventional radiology improved, various methods have been proposed in order to achieve a good control of bleeding with different origins. When it comes to the role of arterial embolization for uncontrollable gynaecological bleeding, the method proved to be particularly efficient when it comes to uterine fibroids. Meanwhile, it has been also proposed as salvage therapy in cases presenting massive vaginal bleeding due to unresectable gynaecological malignancies. The aim of the current paper is to review the efficiency of the method in patients presenting large tumoral m

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13

Gonzalez, Maritza, Ruth Wei, Kenneth Hatch, Lynn Gries, and Meghan Hill. "A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy." American Journal of Perinatology Reports 09, no. 01 (2019): e27-e29. http://dx.doi.org/10.1055/s-0039-1678735.

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Background Trauma in pregnancy can lead to life-threatening hemorrhage. Conventional treatments of hemorrhage include medical and surgical management. However, if these measures fail uterine compression is an option to control bleeding. We present a case where this management was employed. Case A patient presented at 36 weeks of gestation with multiple injuries after a motor vehicle collision and experienced disseminated intravascular coagulation (DIC). The use of a Bakri balloon in combination with external compression with Coban, a sterile self-adherent bandage, after delivery temporized her

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14

DiGiacinto, Dora, Jennifer E. Bagley, Bradford Gildon, and Gina Cantrell. "Postpartum Pseudoaneurysm After Cesarean Delivery." Journal of Diagnostic Medical Sonography 35, no. 2 (2018): 136–40. http://dx.doi.org/10.1177/8756479318816985.

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Uterine artery pseudoaneurysm is an uncommon vascular lesion that can be life threatening. A ruptured uterine artery pseudoaneurysm can cause acute massive hemorrhaging, creating a true emergency for the postpartum patient. The etiology is more commonly seen with traumatic procedures such as cesarean delivery or curettage. This case report is of a patient with a history of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome who presented with heavy bleeding after a cesarean delivery. Sonography was primarily used to diagnose the uterine artery pseudoaneurysm. Because of the

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15

Begum, Shamsun Nahar, Shroddha Nivedita Paul, Fonindra Nath Paul, Muna Shalima Jahan, and Parul Akhter. "Uterine Arteriovenous MalformationA Rare Cause of Abnormal Uterine Bleeding." Bangladesh Journal of Obstetrics & Gynaecology 29, no. 1 (2016): 49–53. http://dx.doi.org/10.3329/bjog.v29i1.30470.

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Uterine arteriovenous malformation (AVM) is a rare condition with fewer than 100 cases reported in the literature1. Despite being rare, it is a life threatening condition. In most cases, it is diagnosed during a severe and acute hemorrhagic event. It has a diverse symptomatology. Clinical presentation varies from no symptom to various degree of menorrhagia with massive life threatening vaginal bleeding. Clinical suspicion is essential for a prompt diagnosis and treatment. This case report describes a 24year old woman who presented with recurrent episodes of severe vaginal bleeding for the last

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16

Sharma Jyotsna, Murugesan Sneha, Bhabani Pegu, Sasirekha Rengaraj, Ajith Ananthakrishna Pillai, and Veena Pampampatti. "Case report of massive haemorrhage following medical miscarriage requiring uterine artery embolization." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 3 (2023): 770–72. http://dx.doi.org/10.18203/2320-1770.ijrcog20230555.

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Uterine arteriovenous malformations (AVM) are an abnormal, nonfunctional connection between uterine arteries and veins. These occur mostly after damage to uterine tissue following uterine surgical procedures. They may occur following even spontaneous abortion and resolve with expectant management without requiring a medical/surgical intervention. We report an interesting case of a woman who presented after medical abortion with uterine AVM with heavy bleeding requiring radiological intervention. Mrs. K, multiparous woman was referred in hypovlomeic shock from a district hospital. She had a med

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17

Golyanovskiy, О. V., A. O. Goncharenko, and O. Yu Kachur. "Prevention and therapy of massive obstetric bleeding with placenta percreta 3b." Reproductive health of woman, no. 2 (April 29, 2022): 8–16. http://dx.doi.org/10.30841/2708-8731.2.2022.261800.

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The objective: to reduce the intra- and postoperative complications, massive intraoperative blood loss during abdominal delivery of pregnant women with placenta percreta 3b using endovascular technique of temporary balloon occlusion of the infrarenal abdominal aorta. Materials and methods. Caesarean section in the uterus fundus was performed in 21 pregnant women with placenta percreta and invasion of perivesical tissue, partial invasion to the posterior wall of the bladder (degree of invasion 3b). The main group included 7 pregnant women who had lower median laparotomy and caesarean section in

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18

О.V., Golyanovskiy, Goncharenko A.O., and Kachur O.Yu. "PREVENTION AND THERAPY OF MASSIVE OBSTETRIC BLEEDING WITH PLACENTA PERCRETA 3B." Reproductive Health of Woman, no. 2 (April 29, 2022): 8–16. https://doi.org/10.30841/2708-8731.2.2022.261800.

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<em><strong>The objective:</strong> </em>to reduce the intra- and postoperative complications, massive intraoperative blood loss during abdominal delivery of pregnant women with placenta percreta 3b using endovascular technique of temporary balloon occlusion of the infrarenal abdominal aorta. <em><strong>Materials and methods.</strong> </em>Caesarean section in the uterus fundus was performed in 21 pregnant women with placenta percreta and invasion of perivesical tissue, partial invasion to the posterior wall of the bladder (degree of invasion 3b). The main group included 7 pregnant

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Kang, Jin Woo, and Sung Yob Kim. "A case of emergency hysterectomy for postpartum hemorrhage due to uterine atony." Journal of Medicine and Life Science 6, no. 1 (2007): 1–5. http://dx.doi.org/10.22730/jmls.2008.6.1.1.

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Uterine atony is the leading cause of primary postpartum hemorrhage and the main indications of emergency peripartum hysterectomy.A 35-year-old pregnant female patient, at the gestational age of 39+6weeks visited our Hospital for induction of labor. But After giving her intravenous oxytocin, fetal heart rate deceleration was detected and rupture of amniotic membrane occurred. cesarean section was performed by method of lower transverse section. But vaginal bleeding was persistent and blood prssure fell to 80/50 .Lower segment of uterus was not firm, and Hb was 5.3 g/dl. Despite of oxytocin inf

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20

Indusekhar, R., A. Azad, R. Ibrahim, and A. Clark. "M229 MASSIVE HAEMOPERITONEUM DUE TO SPONTANEOUS BLEEDING FROM UTERINE LEIOMYOMA." International Journal of Gynecology & Obstetrics 119 (October 2012): S606. http://dx.doi.org/10.1016/s0020-7292(12)61421-0.

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Reyftmann, L., H. Vernhet, and P. Boulot. "Management of massive uterine bleeding in a cesarean scar pregnancy." International Journal of Gynecology & Obstetrics 89, no. 2 (2005): 154–55. http://dx.doi.org/10.1016/j.ijgo.2004.11.030.

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Kim, Hyoeun, Ji Hye Koh, Jihee Lee, et al. "Successful Full-Term Delivery via Selective Ectopic Embryo Reduction Accompanied by Uterine Cerclage in a Heterotopic Cesarean Scar Pregnancy: A Case Report and Literature Review." Diagnostics 12, no. 3 (2022): 762. http://dx.doi.org/10.3390/diagnostics12030762.

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Heterotopic cesarean scar pregnancy (HCSP) is a combination of cesarean scar pregnancy (CSP) and intrauterine pregnancy (IUP). Cesarean scar pregnancy is accompanied by life-threatening complications, such as uterine rupture and massive bleeding. Herein, we present a case of HCSP treated with selective potassium chloride injection into the CSP under ultrasonography in association with uterine cerclage to control vaginal bleeding; this led to a successful IUP preservation and full-term delivery. Additionally, we will review several previous reports on HCSP management, including our case.

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23

Guseva, Elena M. "BLEEDINGS IN THE HIGH-RISK GROUP OBSTETRIC HOSPITAL." V.F.Snegirev Archives of Obstetrics and Gynecology 5, no. 1 (2018): 37–40. http://dx.doi.org/10.18821/2313-8726-2018-5-1-37-40.

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Massive hemorrhage and hemorrhagic shock as main causes of deaths in pregnancy, occupy up to 25% in the structure of mortality rate in obstetrics. In the past decade, the decline in the share of deaths of mothers has occurred due to postpartum bleedings and bleedings in detachment or placenta previa. The aim of the study was to determine the frequency and structure of massive bleedings in a high-risk group obstetric hospital. Methods. A retrospective descriptive cohort study was executed in 2 stages: at the 1st stage - a study of 396 deliveries histories with main nosological forms leading to

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Tokue, Hiroyuki, Azusa Tokue, and Yoshito Tsushima. "Successful Interventional Management of Life-Threatening Bleeding after Oocyte Retrieval: A Case Report and Review of the Literature." Medicina 58, no. 11 (2022): 1534. http://dx.doi.org/10.3390/medicina58111534.

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Life-threatening bleeding after oocyte retrieval is unusual. We report a case of massive vaginal bleeding requiring transcatheter arterial embolization (TAE) after transvaginal US-directed follicle aspiration for oocyte retrieval and provide a brief review of cases in which the pseudoaneurysm of the injured artery was managed with a TAE approach. A 40-year-old woman presented massive vaginal bleeding after transvaginal ultrasonography-directed follicle aspiration for oocyte retrieval. Contrast-enhanced computed tomography revealed active bleeding from the uterine ostium. Transcatheter arterial

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25

Mitwally, Abo B. A. "Infundebulectomy in management of uterine artery or uterine wall injury during complicated and difficult caesarean section: case series study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 2 (2022): 595. http://dx.doi.org/10.18203/2320-1770.ijrcog20220194.

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It is case series trying to save uterus in situation where one site of it is severely injured or in severe uncontrollable bleeding in one of the uterine arteries either during control of massive hemorrhage associated with friable tissues with severe adhesion, some cases of placenta accrete spectrum, some cases of uterine rupture and in caesarean section myomectomy.

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Ryazanova, Oksana V., Yuri S. Alexandrovich, Efim M. Shifman, et al. "Modern aspects of uterine bleeding treatment with placenta previa." Pediatrician (St. Petersburg) 7, no. 3 (2016): 117–27. http://dx.doi.org/10.17816/ped73117-127.

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Uterine bleeding caused by placenta previa is one of the main causes of massive blood loss and death in obstetric practice.Objectives. To analyze the efficacy and safety of various therapeutic strategies to stop uterine bleeding in women in labor and puerperants on the basis of research results.Materials and Methods. Available researches on the diagnosis and treatment of uterine bleeding with placenta previa between 2000 and 2015 were included in the study. The search was carried out in medical databases PubMed and Cochrane Library with free access to the publication.Results. 61 publications w

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MINNULLINA, F. F., L. M. MUKHAMETZYANOVA, and L. R. AKHMETSHINA. "Hysteroscopy pattern of uterine cavity pathology in the late postpartum period." Practical medicine 20, no. 6 (2022): 71–74. http://dx.doi.org/10.32000/2072-1757-2022-6-71-74.

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Various obstetric and gynecological disorders, such as placental retention, dysfunctional bleeding and endometrial polyps can cause postpartum uterine bleeding. Placental remnants and arteriovenous malformations are often found in uterine bleeding in the late postpartum period. Optimal treatment based on a correct differential diagnosis is necessary. Differential diagnosis of the placental bed made with an ultrasound examination is essential. An ultrasound examination and determination of the chorionic gonadotropin level are the basic steps in the diagnostic. In the absence of massive bleeding

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Zulfiqar, Yefri. "Placenta Percreta with Massive Hematuria." Journal of Midwifery 9, no. 1 (2024): 48. http://dx.doi.org/10.25077/jom.9.1.48-51.2024.

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Placenta accreta spectrum disorder (PAS) is diagnosed clinically when the placenta cannot be separated from the uterus after delivery. Abnormal placentas can be classified into three different entities such as placenta accreta, increta, and percreta. Placenta percreta is rare. Bladder bleeding due to placenta percreta has a poor prognosis. The main peculiarities of our case were a history of previous cesarean section, uterine curettage for miscarriage, and multiparity. Hematuria occurred in only 5% of patients. Early detection and appropriate treatment can save the patient's life

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Devi, Yangala Sudha, Ranjan Kumar Patel, Tara Prasad Tripathy, and Saubhagya Jena. "Uterine Artery Pseudoaneurysm after Total Abdominal Hysterectomy Managed by Ultrasound-guided Percutaneous Glue Injection." Journal of Medical Ultrasound 32, no. 3 (2023): 252–54. http://dx.doi.org/10.4103/jmu.jmu_31_23.

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Abstract Uterine artery pseudoaneurysm (UAP) following abdominal hysterectomy is an uncommon complication. However, it can cause life-threatening bleeding, necessitating early diagnosis and intervention. Imaging is vital in its prompt diagnosis and aids in planning interventions. Here, we describe a case of recurrent massive per-vaginal bleeding from a left UAP developed following total abdominal hysterectomy and bilateral salpingo-oophorectomy. Bleeding was successfully managed with percutaneous ultrasound-guided glue (N-butyl cyanoacrylate) injection into the aneurysmal sac. The patient is d

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Yulianti Bisri, Dewi, and Tatang Bisri. "Gravida 7 para 4 abortus 2 (G7P4A2) for multiple repeat caesarean section: general or neuroaxial anesthesia." ACTA Medical Health Sciences, Volume 2 No 1 (June 30, 2023): 38–45. http://dx.doi.org/10.35990/amhs.v2n1.p38-45.

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A caesarean section (CS) is a surgical procedure that has several risks, such as uterine rupture, infection, bleeding, thrombosis, and damage to the bladder, ureters, or intestines. Compared to primary CS, multiple repeat caesarean sections (MRCS) are associated with additional risks, including placenta previa, abnormal placental invasion, difficulty in surgical dissection, longer surgeries, and greater amounts of bleeding. A woman, age 40 years, G7P4A2, gravida aterm, weight 64.4 kg, height 150 cm, Mallampati score 1, open mouth >3 cm, thyromental distance > 3 fingers, neck circumferenc

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Barinov¹,, S. V., Yu I. Tirskaya, O. V. Lazareva¹,, et al. "Clinical observation of delivery of a pregnant woman with multiple pregnancies complicated by massive postpartum hemorrhage on the background of placenta accreta." Russian Bulletin of Obstetrician-Gynecologist 25, no. 3 (2025): 93. https://doi.org/10.17116/rosakush20252503193.

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We present a clinical observation of successful staged intraoperative stop bleeding and organ-preserving surgery in a patient with placenta ingrowth in multiple pregnancy. The use of a sequential algorithm: ligation of uterine vessels, application of assembling hemostatic sutures, resection of the uterine wall with the area of placenta ingrowth, suturing of the wound with assembling sutures followed by its reinforcement with additional two rows of separate sutures allowed to stop bleeding and perform organ-preserving operation.

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SULTANA, RAZIA, SAIF-UL ISLAM, and NURJAHAN -. "CAESAREAN SCAR PREGNANCY;." Professional Medical Journal 20, no. 05 (2013): 849–51. http://dx.doi.org/10.29309/tpmj/2013.20.05.1434.

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Caesarean Scar pregnancy (CSP) is a rare form of Ectopic pregnancy where the gestation sac is surrounded bymyometrium and the fibrous tissue of the scar from the previous caesarean section. It is often misdiagnosed as Molar pregnancy orInevitable Abortion and can be associated with massive hemorrhage and pervaginal bleeding leading to uterine rupture. Here we reporteda case of Caesarean scar pregnancy who presented with history of cesarean section and pervaginal bleeding. Dilatation and curettagewas planned but during the operative procedure there was profuse hemorrhage leading to hypovolumic

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Tokue, Hiroyuki, Azusa Tokue, Yoshito Tsushima, and Takeshi Kameda. "Risk factors for massive bleeding based on angiographic findings in patients with placenta previa and accreta who underwent balloon occlusion of the internal iliac artery during cesarean section." British Journal of Radiology 92, no. 1102 (2019): 20190127. http://dx.doi.org/10.1259/bjr.20190127.

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Objective: We evaluated the risk factors for massive bleeding based on angiographic findings in patients with placenta previa and accreta who underwent balloon occlusion of the internal iliac artery (BOIA) during cesarean section. Methods: We performed a retrospective analysis using the clinical records of 42 patients with placenta previa and accreta who underwent BOIA during cesarean section between 2006 and 2017 in Gunma university hospital. We reviewed incidence of collateral arteries to the uterus on the initial aortography. We evaluated the visualization of the ovarian artery arising dire

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Pedro-Egbe, Chinyere. "Sudden Bilateral Blindness Following Massive Uterine Bleeding: Reports of 2 Cases." British Journal of Medicine and Medical Research 2, no. 2 (2012): 254–59. http://dx.doi.org/10.9734/bjmmr/2012/1000.

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Yang, J. J., Y. Xiang, X. R. Wan, and X. Y. Yang. "Diagnosis and management of uterine arteriovenous fistulas with massive vaginal bleeding." International Journal of Gynecology & Obstetrics 89, no. 2 (2005): 114–19. http://dx.doi.org/10.1016/j.ijgo.2004.11.037.

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Fatkullina, Yuliya N., Alfiya G. Yashchuk та Anna Yu Lazareva. "Modern approaches to the therapy of urgent conditions (рlacenta praevia)". V.F.Snegirev Archives of Obstetrics and Gynecology 9, № 2 (2022): 121–27. http://dx.doi.org/10.17816/2313-8726-2022-9-2-121-127.

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BACKGROUND: Obstetric bleeding associated with placental anomalies is a leading cause of massive bleeding and maternal mortality. Their relevance increases due to the increasing abdominal delivery frequency. Numerous proposed approaches and ways to stop such bleeding indicate the complexity and versatility of the problem, as well as its unresolved present stages. AIM: This study aimed to evaluate the effectiveness of a new method of bleeding control in placenta previa. MATERIALS AND METHODS: Herein presented the results of a prospective study that included 58 cases of bleeding cont

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Damra Elnour Mohammed, Sally, Mohammed Khidir Tayfor, Isra Mutasim Hamad, and Mashaar Osama. "Bilateral uterine artery embolization for the management of bilateral uterine artery pseudoaneurysm during puerperium: A case report." MOJ Women's Health 10, no. 1 (2021): 22–23. http://dx.doi.org/10.15406/mojwh.2021.10.00282.

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Background: Uterine artery Pseudoaneurysm is a rare cause of secondary postpartum hemorrhage (PPH) and can develop after various gynecological or obstetric procedures. The delayed diagnosis of such cases often results in life threatening situations. We report a rare case of bilateral uterine artery pseudoaneurysm that led to life threatening secondary PPH after Caesarean section in a patient who had several Caesarean sections before. Case description: A 35 years old multiparus women, who had all her four deliveries by Caesarean sections, presented with recurrent massive attacks of secondary PP

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Sant, Christian Linus Hastrup, and Poul Erik Andersen. "Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy." Case Reports in Radiology 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/289103.

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Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination and computer tomography revealed no sign of abnormal pregnancy. The correct diagnosis was first made at emergency laparotomy. Uterine rupture should be considered in pregnant women presenting with abdominal pain and haemodynamic instability.

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Zharkin, N. A., N. A. Burova, A. E. Miroshnikov, and Yu A. Shatilova. "Intraoperative Hemostasis in Case of Placenta Abruption — the Right of Choice." Doctor.Ru 23, no. 5 (2024): 37–42. http://dx.doi.org/10.31550/1727-2378-2024-23-5-37-42.

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Aim. To evaluate the effectiveness of various variants of hemostatic sutures in the fight against obstetric bleeding caused by premature rupture of placenta and prevention of massive blood loss. Design. Analytical review and cohort retrospective study. Materials and methods. The analysis of the effectiveness of intraoperative hemostasis methods was carried out on the basis of data from 24 domestic and foreign scientific publications devoted to the problem of PPRP over the past 10 years (2014–2024). The information obtained was compared with the results of using a local algorithm for intraopera

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Pal, Subrata, Kingshuk Bose, Srabani Chakrabarti, and Mrinal Sikder. "Haemangiomatous polyp of uterine cervix: a rare cause of post-coital bleeding – a case report." Bangladesh Journal of Medical Science 18, no. 1 (2019): 153–55. http://dx.doi.org/10.3329/bjms.v18i1.39568.

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Cavernous haemangioma of uterine cervix is a very rare lesion. It is clinically significant due to its presentation of pervaginal bleeding mimicking many other neoplastic lesions. Occasionally it may leads to massive haemorrhage complicating to hypovolemic shock. Here we are presenting a rare case of cavernous haemangiomatous polyp of endocervix presented with postcoital bleeding in a 32 years old lady. Surgical removal is curable and also has been proved to control post-coital bleeding successfully in our case. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.153-155

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Utama, SpOG(K), Bobby Indra. "Chronic Uterine Inversio due to Myoma Geburt." JOURNAL OBGIN EMAS 4, no. 1 (2020): 110–13. http://dx.doi.org/10.25077/aoj.4.1.110-113.2020.

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Background: Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective: Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight b

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Usman, Fatimah, Muhammad Al Farisi Sutrisno, Kemas Yusuf Effendi, et al. "Acquired uterine arteriovenous malformation after cesarean section." Majalah Obstetri & Ginekologi 32, no. 2 (2024): 148–55. http://dx.doi.org/10.20473/mog.v32i22024.148-155.

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HIGHLIGHTS 1. Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium.2. Embolization represents a viable and well-established treatment modality for AVM, providing a safe and efficacious intervention that serves as an alternative, less invasive modality for patients desiring fertility preservation. ABSTRACT Objectives: To demonstrate that embolization is a viable and well-established treatment for acquired arteriovenous malformations (AVMs), offering a safe and effectiv

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Jong-Din, Kim. "Obstetric blood loss: priorities in the choice of infusion solutions." Infusion & Chemotherapy, no. 3.2 (December 15, 2020): 117–19. http://dx.doi.org/10.32902/2663-0338-2020-3.2-117-119.

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Background. Bleeding accounts for 34 % of maternal mortality. Every 7 minutes 1 woman dies from bleeding during the labour. Retrospective analysis of medical records shows that in 60-80 % of cases, fatal consequences can be avoided. Criteria for defining the concept of “massive blood loss” are the loss of 100 % of circulating blood volume (CBV) within 24 hours or 50 % of CBV within 3 hours, loss of 150 ml/min, of 2 % of body weight within 3 hours, reduction of hematocrit by 10 % in combination with hemodynamic disturbances, one-time blood loss more than 1500-2000 ml or 25-35 % CBV, the need fo

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Kumari, Sonu, Mahesh Dixit, and Narendra Kumar Meena. "A Literary Review of AsrigdarainAyurvedw.s.r. to Menometrorrhagia." International Research Journal of Ayurveda & Yoga 04, no. 11 (2021): 97–99. http://dx.doi.org/10.47223/irjay.2021.41115.

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In PrasutitantraOPD, Menometrorrhagia is the most common gynaecological illness. It is a symptom that can be detected in the majority of gynecological issues. The irregular, massive blood loss per vaginum is a symptom of abnormal uterine bleeding. Bleeding in excess of regular amounts and for a longer period of time during the menstrual cycle. Abnormal uterine bleeding is known as Asrigdara in Ayurvedic samhitas, which implies pradirana(extreme excretion) of raja (menses) per vaginum. The causative factor or Dosa In Asrigdarais Vayu, and the vitiated Dhatu Or Dusya is Rakta(blood), or blood is

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Koyano, Maya, Junichi Hasegawa, Tatsuya Arakaki, Ryu Matsuoka, and Akihiko Sekizawa. "Successful treatment of placenta previa totalis using the combination of a two-stage cesarean operation and uterine arteries embolization in a hybrid operating room." Case Reports in Perinatal Medicine 5, no. 1 (2016): 31–34. http://dx.doi.org/10.1515/crpm-2015-0072.

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Abstract A 37-year-old primigravida female with placenta previa totalis was transferred to our hospital at 29 weeks of gestation. A transvaginal ultrasound examination showed a dropped placenta into the uterine cervix and an effaced lower uterine segment. The boundary between the cervical muscle layer and the placenta was unclear. Consequently, although it was unclear whether complication of the adherence of placenta was present or not, massive hemorrhage with atonic bleeding in the lower uterine segment after placenta removal was strongly suspected. As the patient had uncontrolled vaginal ble

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Yulianto Sarim, Budi. "Manajemen Perioperatif pada Perdarahan akibat Atonia Uteri." Jurnal Anestesi Obstetri Indonesia 3, no. 1 (2020): 47–58. http://dx.doi.org/10.47507/obstetri.v3i1.42.

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Perdarahan obstetri merupakan penyebab utama kematian maternal dan perinatal. Atonia uteri merupakan penyebab tersering perdarahan postpartum. Perdarahan post partum adalah perdarahan lebih dari 500 cc setelah bayi lahir pervaginam atau lebih dari 1.000 ml setelah persalinan abdominal atau jumlah perdarahan lebih dari normal dan telah menyebabkan perubahan tanda vital. Penyebab atonia uteri adalah overdistensi uterus, kelelahan otot miometrium, plasenta letak rendah, toksin bakteri (korioamnionitis, endomiometritis, septikemia), hipoksia akibat hipoperfusi atau uterus couvelaire pada solusio p

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Mekaru, Keiko, Sugiko Oishi, Kozue Akamine, Chiaki Heshiki, and Yoichi Aoki. "Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management." Case Reports in Obstetrics and Gynecology 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/6437670.

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Uterine arteriovenous malformation (AVM) can cause massive hemorrhage and is often treated with uterine artery embolization (UAE), which may lead to ovarian insufficiency. Thus, avoiding UAE should be considered, particularly in women undergoing fertility treatments. We present three women diagnosed with postmiscarriage AVM on color Doppler by transvaginal ultrasound imaging. They had no genital bleeding and a small mass, measuring 16–22 mm. If estradiol was >300 pg/mL when AVM was diagnosed, then a gonadotropin-releasing hormone agonist was administered. All three women underwent follow-up

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*Dr., Zamurrad Parveen, Nilofer Shama Dr., Husain Ghazali Kashif, and Md. Asjad Karim Bakhteyar Dr. "STRUCTURAL ANOMALY, CRITICAL OUTCOME: UTERINE RUPTURE IN BICORNUATE UTERUS." World Journal of Pharmaceutical Science and Research 4, no. 3 (2025): 305–11. https://doi.org/10.5281/zenodo.15563174.

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Bicornuate uterus is a very rare uterine anomaly resulting from incomplete fusion of 2 mullerian ducts during embryogenesis. Bicornuate uterus very rarely can lead to uterine rupture with massive intra peritoneal bleeding in early as well as in later stage pregnancy leading to high mortality and morbidity. We report some cases of uterine rupture of bicornuate uterus occurring at different gestational age with complain of pain abdomen and shock. The diagnosis of uterine rupture was made and emergency laparotomy was done. Bicornuate uterus with rupture was an intra-operative finding in all cases

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Soukaina, Fekkoul, Rhazi Inas, Taheri Hafsa, Saadi Hanane, and Mimouni Ahmed. "Non-puerperal uterine inversion caused by a leiomyoma." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 12 (2022): 3399. http://dx.doi.org/10.18203/2320-1770.ijrcog20223140.

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Uterine inversion is characterized by the invagination of the fundus of the uterus through the vagina. It’s a rare postpartum complication leading to massive bleeding and it’s extremely rare in non-puerperal cases. Non-puerperal uterine inversion is caused by tumors exerting force on the fundus of the uterus, turning the uterus inside out. It is most frequently associated with benign tumors such as submucosal leiomyomas however, malignant tumors can also be associated. We reported the case of 43-year-old women, G1P1, who was admitted at the emergency department for a bleeding vaginal prolapsed

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Chen, F., H. Duan, Y. Zhang, Y. Liu, X. Wang, and Y. Guo. "A giant nabothian cyst with massive abnormal uterine bleeding: a case report." Clinical and Experimental Obstetrics & Gynecology 44, no. 2 (2017): 326–28. http://dx.doi.org/10.12891/ceog3457.2017.

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