[Pelvi-abdominal hematoma: a five years study].
OBJECTIVE
To investigate the incidence of pelvi-abdominal hematoma, to identify associated factors and to describe modalities of diagnosis and management.


METHODS
A retrospective observational study including all patients presenting with a pelvi-abdominal hematoma among women who delivered between January 2005 and December 2010 in Toulouse university hospital.


RESULTS
Twenty five thousand, one hundred and eighty-four women delivered during the study period and nine women were included (estimated incidence: 1/4200 deliveries). The main associated obstetrical factors were perineal injuries (episiotomy or lacerations) in 100% of cases and instrumental extraction (spatula) in 50% of cases. Arterial embolisation was performed in one third of cases. No death was observed.


CONCLUSIONS
Pelvi-abdominal hematoma is a severe and infrequent postpartum complication. A better knowledge of clinical and radiological presentations together with obstetrical associated factors will allow an early diagnosis and a multidisciplinary management.
Service de gynécologie-obstétrique, hôpital Paule-de-Viguier, CHU de Toulouse, 330 avenue de Grande-Bretagne, Toulouse cedex 9, France.
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D000005:Abdomen; D000328:Adult; D004621:Embolization, Therapeutic; D004841:Episiotomy / Q000009:adverse effects; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D010388:Pelvis; D010502:Perineum / Q000293:injuries; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012189:Retrospective Studies; D014623:Vaginal Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D014845:Vulvar Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery