Late-onset postpartum hemorrhage from placental bed subinvolution: a case report.
BACKGROUND
Placental bed subinvolution is an underestimated cause of severe, late-onset postpartum hemorrhage.


METHODS
A case of placental bed subinvolution caused abnormal uterine bleeding in the late postpartum period. Because of difficulties in establishing the diagnosis, massive, intractable and life-threatening uterine hemorrhage occurred, leading to hysterectomy.


CONCLUSIONS
Early recognition of placental bed subinvolution allows the use of treatment options capable of preserving the uterus and subsequent fertility.
Costa
Maria A
MA
Department of Obstetrics and Gynecology, University Hospital São João, Porto, Portugal. antonianunescosta@hotmail.com
Calejo
Lucinda I
LI
Martinez-de-oliveira
Jose
J
Laurini
Ricardo
R
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010920:Placenta / Q000473:pathology*; D006473:Postpartum Hemorrhage / Q000209:etiology* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000601:surgery; D014599:Uterus / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery