Pelvic umbrella pack for refractory obstetric hemorrhage secondary to posterior uterine rupture.

Academic Article

Abstract

  • BACKGROUND: Pelvic hemorrhage continues to be a serious complication of pregnancy and can lead to significant maternal morbidity. The pelvic umbrella pack is a useful alternative to control pelvic bleeding when standard measures fail. CASE: A patient with a previous low transverse cesarean delivery presented in active labor at term. After an uneventful vaginal delivery, defects in the posterior vaginal wall and lower uterine segment were identified. A hysterectomy with repair of the vaginal laceration was performed, but diffuse bleeding persisted. After routine surgical techniques failed to achieve adequate hemostasis, a pelvic umbrella pack was successfully used to tamponade pelvic bleeding. CONCLUSION: In the event of continued hemorrhage after hysterectomy, bleeding that is uncontrolled by surgical intervention may be controlled with a pelvic umbrella pack.
  • Published In

    Keywords

  • Embolization, Therapeutic, Female, Hemostasis, Surgical, Humans, Hysterectomy, Obstetric Labor Complications, Pregnancy, Treatment Failure, Uterine Hemorrhage, Uterine Rupture, Vaginal Birth after Cesarean
  • Digital Object Identifier (doi)

    Author List

  • Howard RJ; Straughn JM; Huh WK; Rouse DJ
  • Start Page

  • 1061
  • End Page

  • 1063
  • Volume

  • 100
  • Issue

  • 5 Pt 2