title: Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section.
abstract: Acute puerperal inversion of the uterus is a rare life-threatening obstetric emergency, especially during caesarean section. We present the case of a 30-year-old patient with acute puerperal inversion of the uterus that occurred during placental removal. After a quick reversion of the uterus, an immediate postpartum haemorrhage (PPH) due to massive uterine atony was observed. This atony impacted the whole uterus, with a very thin uterine myometrium. The use of a Bakri Tamponade Balloon use allowed treating extreme uterine atony, immediately stop haemorrhage, and prevent a possible risk of immediate recurrence.
authors.affiliation: Department of obstetrics and gynaecology, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France.
authors.forename: A J
authors.initials: AJ
authors.lastname: Vivanti
authors.affiliation: Department of obstetrics and gynaecology, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Furet
authors.affiliation: Department of obstetrics and gynaecology, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Sorbonne université, UPMC université Paris 06, CNRS UMR 7222, Inserm U1150, 75005 Paris, France. Electronic address: jacky.nizard@aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Nizard
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D058738:Uterine Balloon Tamponade / Q000295:instrumentation*; D014593:Uterine Inertia / Q000628:therapy*; D019687:Uterine Inversion / Q000628:therapy*
keywords: Bakri Tamponade Balloon; Caesarean section; Postpartum haemorrhage; Uterine inversion