Postpartum hemorrhage: Clinical and radiologic aspects

Lee, Nam Kyung; Kim, Suk; Lee, Jun Woo; Sol, Yu Li; Kim, Chang Won; Sung, Kijune; Jang, Ho Jin; Suh, Dong Soo

doi:10.1016/j.ejrad.2009.04.062

Cited by 32 publications

(49 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, to assess the clinical efficacy of these different protocols other future studies will be useful (5,8). Multiplanar reconstructed and volume rendering imaging with oblique reconstruction provide added diagnostic capabilities; these postprocessing techniques demonstrate fine anatomical detail that would be difficult to achieve using axial reconstruction alone.…”

Section: Imagingmentioning

confidence: 99%

“…Despite radiation hazard, CT is usually preferred to magnetic resonance imaging (MRI) because it is cost effective and quick. On rare occasions, MRI is performed to clarify doubtful US and CT findings or to study patients with contraindication to intravenous administration of iodine contrast material (8).…”

Section: Imagingmentioning

confidence: 99%

“…Moreover, CT is usually employed to rule out active arterial bleeding in case of postpartum hemorrhage (5,8). The reported protocols usually consist of three phases: an unenhanced scan (covering only the pelvis) followed by arterial phase (smart prep) and portal phase (80-90 s) scans extended to the whole abdomen or only to the pelvis for the arterial phase (5,8). The unenhanced scans help to detect hematomas or free intra-abdominal fluid and to discriminate active bleeding from calcifications, metal clips, and hemostatic content (5).…”

Section: Imagingmentioning

confidence: 99%

“…Axial images extend from the aortic bifurcation to pubis symphysis. Dynamic enhanced T1-weighted images are obtained after an intravenous bolus injection of gadolinium (8).…”

Section: Imagingmentioning

confidence: 99%

See 3 more Smart Citations

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Gui

Danza²,

Valentini³

et al. 2016

Diagn Interv Radiol

View full text Add to dashboard Cite

Section: Imagingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

“…Axial images extend from the aortic bifurcation to pubis symphysis. Dynamic enhanced T1-weighted images are obtained after an intravenous bolus injection of gadolinium (8).…”

Section: Imagingmentioning

confidence: 99%

See 2 more Smart Citations

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Gui

Danza²,

Valentini³

et al. 2016

Diagn Interv Radiol

View full text Add to dashboard Cite

“…Primary PPH occurs within 24 hours of delivery and secondary PPH after 24 hours and within 6-12 weeks post-partum. Puerperal genital hematomas are uncommon causes of PPH but can be a cause of serious morbidity and even maternal death [3]. The incidence of puerperal genital hematoma ranges from 1/300 to 1/1,400.…”

mentioning

confidence: 99%

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall

Park

Han

2011

Korean J Obstet Gynecol

View full text Add to dashboard Cite

Puerperal genital hematomas are uncommon causes of postpartum hemorrhage but can be a cause of serious morbidity and even maternal death. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or found as delayed postpartum hemorrhage, there is a high risk of shock. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on 2nd postpartum day. Th is is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Keywords Copyright © 2011. Korean Society of Obstetrics and GynecologyPostpartum hemorrhage (PPH) is the most signifi cant cause of maternal morbidity and mortality worldwide [1]. PPH is defi ned as an estimated blood loss in excess of 500 mL following a vaginal birth or a blood loss of greater than 1,000 mL following cesarean birth [2]. PPH is classifi ed as primary and secondary. Primary PPH occurs within 24 hours of delivery and secondary PPH after 24 hours and within 6-12 weeks post-partum. Puerperal genital hematomas are uncommon causes of PPH but can be a cause of serious morbidity and even maternal death [3]. The incidence of puerperal genital hematoma ranges from 1/300 to 1/1,400. Puerperal genital hematomas can be classified into vulvar, vulvovaginal, paravaginal, retroperitoneal or supravaginal type according to location [4]. When puerperal genital hematomas are clinically occult despite signifi cant blood loss or are found as delayed postpartum hemorrhage, there is a high risk of shock. A close monitoring and prompt treatment should be required. We report a case with shock accompanied by rupture of progressive retroperitoneal hematoma through left upper vaginal wall on postpartum 2nd day. It was suggested to be originated from injury of left vaginal artery. Case ReportA 33-year-old woman (gravida 2, para 2) presented at emergency room with moderate left perineal pain and left lower quadrant abdominal pain. The patient spontaneously delivered a large baby (4.2 kg) after induction of labor two days ago. Physical examination showed tenderness and rebound tenderness on left lower abdominal area. The uterus was fi rm and the fundus was below umbilicus. The vaginal bleeding or laceration was not found on CASE REPORT Korean J

show abstract

Ultrasound of a late onset postpartum broad ligament haematoma

Deng

Naidu

2020

Sonography

View full text Add to dashboard Cite

Postpartum hemorrhage: Clinical and radiologic aspects

Cited by 32 publications

References 43 publications

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings

A case of secondary postpartum hemorrhage with shock followed by rupture of progressive retroperitoneal hematoma through left upper vaginal wall

Ultrasound of a late onset postpartum broad ligament haematoma

Contact Info

Product

Resources

About