The utility of Doppler ultrasonography in diagnosis of delayed postpartum hemorrhage: a case report

Abstract

Although uncommon, delayed postpartum hemorrhage (PPH) can be caused by uterine arteriovenous malformation (AVM), which can lead to severe mortality and morbidity in the mother. Therefore, accurate diagnosis and rapid treatment of uterine AVM may have a significant impact on a patient's prognosis. In the present case, the patient had vaginal bleeding two weeks after the cesarean section and was referred to the present hospital. She was diagnosed quickly with AVM by Doppler ultrasonography and treated with selective uterine artery embolization leading to a full recovery. Here the authors report the usefulness of Doppler ultrasound for early diagnosis of uterine AVM causing delayed PPH in the light of this case.