Journal of Clinical and Biomedical Sciences
Year: 2016, Volume: 6, Issue: 1, Pages: 33-35
Case Report
Ratna Bulusu1, Dharma Vijaya M N2, Chandra Mouli A3, Kumari Suruchi Choudhury 4
1. Professor and Head
2. Professor
3. Assistant Professor 4. Postgraduate. Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Hoskote, Bengaluru, India
*Corresponding Author
E-mail: [email protected]
The use of compression sutures in cases of massive postpartum haemorrhage uncontrolled by med-ical management gives an option to the women for future child bearing and menstrual function. A case is being reported wherein patient was referred in prolonged second stage of labour with failed forceps and intrapartum fetal demise. Emergency caesarean section was done and Hayman’s sutures were placed for massive atonic PPH with failed medical management. Patient developed subinvolution of uterus with py-operitoneum. Patient refused surgical intervention and later presented with necrosed uterine wall hanging through the introitus. Exploratory laparotomy showed total uterine necrosis with pyoperitoneum. A total hysterectomy with right salpingo-oophorectomy was done.
Keywords: postpartum haemorrhage, uterine compression sutures, pyoperitoneum, uterine necrosis
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