Postpartum hemoperitoneum due to avulsion of pelvic uterine adhesion band.
A 31-year-old nulliparous woman presented in labor with preterm rupture of membranes at 35 weeks of gestation. The ensuing intrapartum course was uneventful, and she delivered a healthy infant (birth weight, 2,850 g) vaginally. Four hours after delivery, the patient had a syncopal episode due to hypovolemic shock. At laparotomy, a fibrous band between the right fallopian tube and uterus was found to be avulsed and actively bleeding, confirming preoperative findings obtained with multidetector row computed tomographic angiography.
Fu
Hung-Chung
HC
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaoshiung 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan.
Ko
Sheung-Fat
SF
Ou
Chi-Yu
CY
Hsu
Te-Yao
TY
D000328:Adult; D005187:Fallopian Tubes / Q000293:injuries*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D022125:Lacerations / Q000209:etiology*; D011644:Puerperal Disorders / Q000209:etiology*; D012769:Shock / Q000209:etiology; D000267:Tissue Adhesions / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014599:Uterus / Q000293:injuries*