title: Cardiac arrest following acute puerperal uterine inversion.
abstract: Although uterine inversion is a potentially life-threatening complication of childbirth, there are only six case reports of cardiac arrest due to acute inversion to date. We report a successful outcome in a patient with sickle cell disease who had a witnessed cardiac arrest due to acute puerperal uterine inversion. Revival from cardiac arrest and resuscitation was followed by manual repositioning of the uterus. She gradually recovered from the acute kidney injury that developed as sequelae of the cardiac arrest and subsequent circulatory shock. Awareness of this rare complication and timely intervention is the key to a successful outcome in these patients.
authors.affiliation: Department of Anaesthesiology & Critical Care, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors.forename: Deb Sanjay
authors.initials: DS
authors.lastname: Nag
authors.affiliation: Department of Obstetrics & Gynaecology, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors.forename: Mamta Rath
authors.initials: MR
authors.lastname: Datta
authors.affiliation: Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors.forename: Devi Prasad
authors.initials: DP
authors.lastname: Samaddar
authors.affiliation: Department of Anaesthesiology & Critical Care, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors.forename: Binita
authors.initials: B
authors.lastname: Panigrahi
mesh_terms: D000208:Acute Disease; D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001285:Atropine / Q000627:therapeutic use; D016887:Cardiopulmonary Resuscitation; D005260:Female; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D011644:Puerperal Disorders / Q000628:therapy*; D016896:Treatment Outcome; D019687:Uterine Inversion / Q000628:therapy*
chemical_list: D000889:Anti-Arrhythmia Agents; D001285:Atropine