The use of a Rusch intrauterine balloon to cause tamponade on a severe hemorrhage in a case of endometrial cancer.
Intractable vaginal bleeding is a complication of gynecological tumors of the cervix and endometrium. The management of torrential bleeding usually requires laparotomy or laparoscopy, or less invasive techniques such as uterine artery embolization. This case report describes the use of an intrauterine Rusch balloon catheter, previously only used in the obstetric setting. This is a safe and inexpensive method of management, which does not need specific training. We also review all the current options for the management of severe bleeding as a complication of gynecological cancers.
Department of Surgery and Cancer, Imperial College West London Gynaecological Cancer Center, Queen Charlotte's and Chelsea - Hammersmith Hospital, Imperial Healthcare NHS Trust, London, UK; †Department of Gynaecologic Oncology, Lancashire Teaching Hospitals, Preston, UK, and ‡Gold Coast and Robina Hospitals, Brisbane, Australia.
Maria
M
Kyrgiou
Pierre
P
Martin-Hirsch
Maneesh
M
Singh
D016889:Endometrial Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D058738:Uterine Balloon Tamponade / Q000295:instrumentation / Q000379:methods*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000517:prevention & control*